Sleep Disorders
Neurological review of sleep rhythm, parasomnias, and seizure mimics.
Sleep problems in children include night waking, night terrors, sleepwalking, snoring, daytime sleepiness, and events that may mimic seizures. Correct differential diagnosis avoids unnecessary restrictions while building a safe sleep routine. Prof. Dr. Serap Uysal reviews sleep history and, when needed, EEG to provide practical family guidance. Late bedtimes and screen use are common in adolescents; school performance and sleep duration are evaluated together. A sleep diary and family observation form the basis of planning.
Scope of assessment
Bedtime and wake times, screen use, naps, and weekend schedules are reviewed. Night sweats, teeth grinding, snoring, and breathing pauses are explored. When unusual night movements or prolonged stiffening is suspected, video and EEG are considered. School performance and behavior changes are included. Seasonal changes and exam periods may disrupt sleep; diaries during those weeks are helpful.
When to seek evaluation
Frequent night waking, marked daytime sleepiness, or declining school performance warrants assessment. Blue or purple color change during sleep, loud snoring, or suspected apnea may need urgent sleep evaluation. When seizures are suspected, pediatric neurology takes priority. Recurrent sleepwalking or night terrors need safety planning.
- Rhythmic movements or long stillness during sleep
- Morning exhaustion and falling asleep at school
- Recurrent night terrors or fearful waking
- Snoring with suspected breathing pauses
- Daytime sudden sleep attacks or collapse
Visit and follow-up process
A two-week sleep diary may be requested. Sleep hygiene advice covers regular timing, a dark room, and screen limits. Sleep EEG or polysomnography referral is arranged when indicated. Follow-up combines family feedback and school reports. When sleep events mimic seizures, video and EEG may be planned together.
Clinical approach
Many parasomnias are benign, yet EEG is essential when events could be epileptic. Families are guided to provide a safe environment without punishing the child. Medication is rarely needed and, when used, the lowest effective option is preferred. Late weekend sleep schedules can cause weekday sleep debt; snoring with apnea suspicion triggers sleep medicine referral. A cool, dark, quiet bedroom supports sleep quality.