Evidence map›Paper›PMID 30621840›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2019

Polysomnography Findings and Sleep Disorders in Children With Alternating Hemiplegia of Childhood.

Sujay Kansagra, Ryan Ghusayni, Bassil Kherallah, Talha Gunduz, Melissa McLean, Lyndsey Prange, Richard M Kravitz, Mohamad A Mikati

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. bioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Alternating Hemiplegia of Childhood andNeurology. Genetics · 2025
    Article
  8. Article
  9. Article
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  11. Article
  12. Characterization of sedation and anesthesia complications in patients with alternating hemiplegia of childhood.European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Heart rate variability in a patient with alternating hemiplegia.Intractable & rare diseases research · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Sujay KansagraDivision of Pediatric Neurology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina.
Ryan GhusayniDivision of Pediatric Neurology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina.
Bassil KherallahDivision of Pediatric Neurology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina.
Talha GunduzDivision of Pediatric Neurology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina.
Melissa McLeanDivision of Pediatric Neurology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina.
Lyndsey PrangeDivision of Pediatric Neurology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina.
Richard M KravitzDivision of Pediatric Pulmonary and Sleep Medicine, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina.
Mohamad A MikatiDivision of Pediatric Neurology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina.
Duke Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesPatients with alternating hemiplegia of childhood (AHC) experience bouts of hemiplegia and other paroxysmal spells that resolve during sleep. Patients often have multiple comorbidities that could negatively affect sleep, yet sleep quality and sleep pathology in AHC are not well characterized. This study aimed to report sleep data from both polysomnography (PSG) and clinical evaluations in children with AHC.

methodsWe analyzed nocturnal PSG and clinical sleep evaluation results of a cohort of 22 consecutive pediatric patients with AHC who were seen in our AHC multidisciplinary clinic and who underwent evaluations according to our comprehensive AHC clinical pathway. This pathway includes, regardless of presenting symptoms, baseline PSG and evaluation by a board-certified pediatric sleep specialist.

resultsOut of 22 patients, 20 had at least one type of sleep problem. Six had obstructive sleep apnea as documented on polysomnogram, of whom two had no prior report of sleep-disordered breathing symptoms. Patients had abnormal mean overall apnea-hypopnea index of 5.8 (range 0-38.7) events/h and an abnormal mean arousal index of 15.0 (range 4.8-46.6) events/h. Based on sleep history, 16 patients had difficulty falling asleep, staying asleep, or both; 9 had behavioral insomnia of childhood; and 2 had delayed sleep-wake phase syndrome.

conclusionsSleep dysfunction is common among children with AHC. Physicians should routinely screen for sleep pathology, with a low threshold to obtain a nocturnal PSG.

Indexed as

AdolescentChildChild, PreschoolCohort StudiesFemaleHemiplegiaHumansInfantMalePolysomnographySleep Wake Disordersalternating hemiplegia of childhoodbehavioral insomniacentral sleep apneaobstructive sleep apneasleep-disordered breathing

Identifiers

PMID30621840
PMCPMC6329557
OpenAlexW2908817293

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.