ABSTRACT
Objective: to describe the pattern of sleep disturbances among children with CP [the age > 3 years] and to evaluate the relationship between sleep disturbances and neurological state
Methodology: This descriptive study included 124 children with CP; [80 males and 44 females] with an age ranging from 4 to 10 years. Children were randomly recruited from Pediatric Outpatient Clinic [1PGCS ]throughout the period from June 2015 till the end of January 2016. All participants were subjected to IQ test [Stanford- Binet Scale V5], EEG, the CSHQ and hemoglobin measurement
Results: Out of 124 children, 92.7% had spastic CP, 6.5% had dyskmetic CP andO.8% had hypotonic CP. Topographically spastic CPs were; 55.6% diplegic, while quadriplegia and hemiplegia were found in 28.2% and 8.9% of studied cases, respectively. Degree of intellectual disability among cases wasO.8% low average [89- 80], 8.1% were borderline [79- 70], 56.5% were mildly impaired, 14.5% were moderately impaired [54-40], 12.1% were severely impaired [39- 25] and 8.1% were profound. Hemoglobin estimation revealed that 8.1% were anemic. Abnormal EEG was found in 70.2% of cases, 81.36% of the epileptic CP children and 60% of the non- epileptics had abnormal EEG findings, 27.4% had focal epileptiform, 18.5% had generalized slow wave, 16.9% had generalized epileptiform and 7.3% had multi- focal epileptiform. Among the epileptic CP children; 52.54% experienced partial seizures and 47.46% experienced generalized seizures. Out of all studied children, 48.38% showed abnormal total CSHQ score indicating a clinically distinct sleep disturbance. There were significant correlation between sleep disturbance score and the degree of intellectual disability and also presence of epilepsy
Conclusion: sleep disturbance was significantly correlated to several co- morbid conditions including the degree of intellectual disability and the presence of epilepsy