Non-Respiratory Indications for Polysomnography and Multiple Sleep Latency Testing for Children
Publication Date: November 1, 2012
Last Updated: March 14, 2022
Recommendations For PSG and MSLT Use:
PSG is indicated for children suspected of having periodic limb movement disorder (PLMD) for diagnosing PLMD. (STANDARD, )
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The MSLT, preceded by nocturnal PSG, is indicated in children as part of the evaluation for suspected narcolepsy. (STANDARD, )
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Children with frequent NREM parasomnias, epilepsy, or nocturnal enuresis should be clinically screened for the presence of comorbid sleep disorders and polysomnography should be performed if there is a suspicion for sleep-disordered breathing or periodic limb movement disorder. (GUIDELINE, )
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The MSLT, preceded by nocturnal PSG, is indicated in children suspected of having hypersomnia from causes other than narcolepsy to assess excessive sleepiness and to aid in differentiation from narcolepsy. (OPTION, )
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The polysomnogram using an expanded EEG montage is indicated in children to confirm the diagnosis of an atypical or potentially injurious parasomnia or differentiate a parasomnia from sleep-related epilepsy. (OPTION, )
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Polysomnography is indicated in children suspected of having restless legs syndrome (RLS) who require supportive data for diagnosing RLS. (OPTION, )
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Recommendations Against PSG Use:
Polysomnography is not routinely indicated for evaluation of children with sleep-related bruxism. (STANDARD, )
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Recommendation Grading
Overview
Title
Non-Respiratory Indications for Polysomnography and Multiple Sleep Latency Testing for Children
Authoring Organization
American Academy of Sleep Medicine
Publication Month/Year
November 1, 2012
Last Updated Month/Year
January 8, 2024
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
In this report, we present practice parameters for the indications of polysomnography and the multiple sleep latency test (MSLT) in the assessment of non-respiratory sleep disorders in children.
Target Patient Population
Children with non-respiratory sleep disorders
Inclusion Criteria
Female, Male, Adolescent, Child
Health Care Settings
Ambulatory, Outpatient
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Assessment and screening, Diagnosis, Management
Diseases/Conditions (MeSH)
D017286 - Polysomnography
Keywords
polysomnography
Source Citation
Sleep, Volume 35, Issue 11, 1 November 2012, Pages 1467–1473,
https://doi.org/10.5665/sleep.2190