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CNS neuroscience & therapeutics v.22 no.11, 2016년, pp.894 - 905   SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

“Emplotted Narratives” and Structured “Behavioral Observations” Supporting the Diagnosis of Willis‐Ekbom Disease/Restless Legs Syndrome in Children with Neurodevelopmental Conditions

Ipsiroglu, Osman S. (Sleep/Wake‐Behaviour Clinic & Research Lab, Division of Developmental Pediatrics, Department of Pediatrics, Faculty of Medicine, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada ) ; Beyzaei, Nadia (Sleep/Wake‐Behaviour Clinic & Research Lab, Division of Developmental Pediatrics, Department of Pediatrics, Faculty of Medicine, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada ) ; Berger, Mai (Sleep/Wake‐Behaviour Clinic & Research Lab, Division of Developmental Pediatrics, Department of Pediatrics, Faculty of Medicine, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada ) ; Wagner, Alexandra L. (Sleep/Wake‐Behaviour Clinic & Research Lab, Division of Developmental Pediatrics, Department of Pediatrics, Faculty of Medicine, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada ) ; Dhalla, Sophia ; Garden, Jennifer ; Stockler, Sylvia ;
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    Summary Background Willis‐Ekbom disease/restless legs syndrome (WED/RLS) seems to be a frequent cause of intractable chronic insomnia (ICI) but is under‐recognized in children/adolescents with neurodevelopmental conditions (NDCs), as many patients do not have the ability to express the underlying “urge‐to‐move”. In light of this, we aim to develop a protocol for behavioral observations supporting the diagnosis of WED/RLS. Methods We investigated 26 pediatric patients (age 1–16 years, median 8) with NDCs, ICI and evidence of familial WED/RLS employing (1) “emplotted narratives” for description of the various “urge‐to‐move” presentations and (2) self‐description and “behavioral observations” during a “suggested clinical immobilization test” (SCIT). Results Parental narratives reflected typical WED/RLS‐related “urge‐to‐move” symptoms during day‐, bed‐, and nighttime in all patients. Fifteen out of 26 patients could describe the “urge‐to‐move” during the SCIT. Ten out of 26 patients, unable to describe their symptoms due to cognitive disabilities, showed patterns of “relieving‐movements” upon observation. Sensory processing abnormalities were reported in all patients, with tactile sensitivities (26/26) (including shifted pain threshold) as the most common sensory domain. Conclusion “Emplotted narratives” and structured “behavioral observations” support recognition of familial WED/RLS associated movement patterns and provide a useful tool for the diagnosis of WED/RLS in children with NDCs in a clinical office setting.


  • 주제어

    Attention deficit hyperactivity disorder .   Iron deficiency .   Periodic limb movements in sleep .   Polysomnography .   Sleep problem.  

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