Excessive Sleepiness & Restless Sleep

Narcolepsy and hypersomnia in children are sleep disorders that impact their ability to stay awake and alert during the day. Narcolepsy is characterized by excessive daytime sleepiness and sudden sleep attacks, often caused by neurological dysfunctions. Hypersomnia, on the other hand, refers to an overwhelming need for sleep, which could stem from inconsistent sleep patterns, underlying medical issues, or genetic factors.

Symptoms of narcolepsy and hypersomnia:

• Frequent and overwhelming daytime drowsiness
• Sudden sleep episodes (narcolepsy)
• Difficulty waking up, even after long periods of sleep (hypersomnia)
• Trouble concentrating and irritability during the day

To diagnose these conditions, our team may review your child’s sleep patterns, and medical history, and perform tests like polysomnography (overnight sleep study) or the multiple sleep latency test (MSLT).

Treatment options for narcolepsy and hypersomnia often include lifestyle adjustments such as establishing consistent sleep routines and behavioral strategies. In some cases, medications like stimulants or other therapies may be recommended to manage symptoms.

Restless Leg Syndrome (RLS) in children is a neurological condition that causes an uncontrollable urge to move the legs, usually due to uncomfortable sensations. These symptoms often occur in the evening or at night, making it difficult for children to fall asleep and stay asleep. RLS can be caused by genetic factors, iron deficiency, or other medical conditions affecting nervous system function.

Symptoms of Restless Leg Syndrome in children:

• Tingling, crawling, or itching sensations in the legs
• An overwhelming urge to move the legs, especially when resting.
• Symptoms improving with movement but returning quickly when still.
• Trouble falling or staying asleep, leading to daytime fatigue.

To diagnose RLS, our physicians may conduct a detailed review of your child’s symptoms, family history, and sleep patterns. Blood tests may be done to check for iron deficiencies or other imbalances, and occasionally sleep studies are recommended.

Treatment typically includes iron supplementation, establishing a consistent bedtime routine, and practicing relaxation techniques. For persistent cases, medical therapies may be considered to ease symptoms and improve your child’s overall sleep quality and well-being.

Periodic limb movements (PLM) in children refer to repetitive, involuntary movements of the legs during sleep, often disrupting rest and leading to daytime fatigue. These movements typically involve flexing the toes, ankles, or knees and occur in regular intervals throughout the night. PLM can be linked to conditions like restless leg syndrome, iron deficiency, or certain neurological or sleep disorders.

Symptoms of Periodic Limb Movements in children:

• Repeated twitching or jerking movements in the legs during sleep
• Nighttime awakenings or disrupted sleep patterns
• Excessive daytime sleepiness or fatigue
• Difficulties with attention and focus during the

To diagnose PLM, our doctors will likely review your child’s sleep history, symptoms, and medical background. A sleep study (polysomnography) may be recommended to monitor nighttime movements and assess sleep quality.

Treatment options may include addressing underlying causes, maintaining a calming bedtime routine, and, in some cases, medication to manage symptoms. These approaches aim to improve sleep continuity and help children feel more rested and energetic during the day.