title: [The importance of sleep problems in children with headache and other neurodevelopmental disorders in neuropaediatric services].
abstract: BACKGROUND
  Sleep disorders are common in children with neurological disorders. The aim of this study is to know the opinion of neuropediatricians and the prevalence of these disturbances in Spain.
  
  
  METHODS
  Multicenter cross-sectional study (12 Spanish hospitals, 15 researchers). BEARS survey was collected in three groups: A (2-5 years), (6-12 years), and C (> 12 years). The opinion of neuropediatricians was also collected.
  
  
  RESULTS
  939 questionnaires were filled. The main results in groups B and C were ADHD (32.4% and 30.1% respectively) and headache (25.1% and 27.6% respectively), whereas in group A neurodevelopmental disorders (32.4%) and epilepsy (21.4%) were the main diagnoses. Disturbances in at least one area of sleep were found in 92% of children in group A (n = 209, mean 3 years), 64.2% in group B (n = 534, mean 9.4 years) and 58.2% in group C (n = 196, mean 13.7 years). Sixty-one surveys were answered by neuropediatricians (16.75% of the total sent), estimating that less than a quarter of the patients (24.5%) suffered. Even, up to 23% of doctors claimed that the prevalence of sleep disorders was < 10%.
  
  
  CONCLUSIONS
  58-92% of parents-patients under follow up at a neuropediatrician office in Spain have some degree of disturbed sleep. Although most neurologists emphasize the importance of an early diagnosis and treatment of sleep disorders in children with neurological disorders, its frequency is often underestimated (risk of underdiagnosis).
authors.affiliation: Hospital La Moraleja, Madrid, Espana.
authors.forename: Ana
authors.initials: A
authors.lastname: Perez-Villena
authors.affiliation: Fundacion Jimenez Diaz, Madrid, Espana.
authors.forename: Victor
authors.initials: V
authors.lastname: Soto-Insuga
authors.affiliation: Hospital Infanta Elena, Madrid, Espana.
authors.forename: Cristina
authors.initials: C
authors.lastname: Castaño-De la Mota
authors.affiliation: Hospital de Torrejon, Madrid, Espana.
authors.forename: Fernando
authors.initials: F
authors.lastname: Martin-Del Valle
authors.affiliation: Fundacion Hospital de Manacor, 07500 Manacor, Espana.
authors.forename: Montserrat
authors.initials: M
authors.lastname: Pons-Rodriguez
authors.affiliation: Fundacion Jimenez Diaz, Madrid, Espana.
authors.forename: Rebeca
authors.initials: R
authors.lastname: Losada-Del Pozo
authors.affiliation: Hospital Universitario del Sureste, Madrid, Espana.
authors.forename: Noelia
authors.initials: N
authors.lastname: Moreno-Acero
authors.affiliation: Hospital General Universitario Virgen de la Arrixaca, El Palmar, Espana.
authors.forename: Helena
authors.initials: H
authors.lastname: Alarcon-Martinez
authors.affiliation: Fundacion Jimenez Diaz, 28040 Madrid, Espana.
authors.forename: María
authors.initials: M
authors.lastname: Rodrigo-Moreno
authors.affiliation: Hospital Universitari Son Espases, Palma de Mallorca, Espana.
authors.forename: Elena
authors.initials: E
authors.lastname: Miravet-Fuster
authors.affiliation: Hospital Clinico Universitario de Valencia, 46010 Valencia, Espana.
authors.forename: Lucía
authors.initials: L
authors.lastname: Monfort-Belenguer
authors.affiliation: Hospital Comarcal Don Benito-Villanueva, 06400 Don Benito, Espana.
authors.forename: Antonio
authors.initials: A
authors.lastname: Polo-Antunez
authors.affiliation: UAM. Universidad Autonoma de Madrid. Hospital Universitario La Paz, 28046 Madrid, Espana.
authors.forename: Antonio
authors.initials: A
authors.lastname: Martinez-Bermejo
authors.affiliation: UAM. Universidad Autonoma de Madrid. Hospital Universitario La Paz, 28046 Madrid, Espana.
authors.forename: Milagros
authors.initials: M
authors.lastname: Merino-Andreu
mesh_terms: D000293:Adolescent; D001291:Attitude of Health Personnel; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006261:Headache / Q000150:complications*; D006306:Health Surveys; D006801:Humans; D008297:Male; D065886:Neurodevelopmental Disorders / Q000150:complications*; D009462:Neurology; D010372:Pediatrics; D015995:Prevalence; D011446:Prospective Studies; D012893:Sleep Wake Disorders / Q000150:complications* / Q000453:epidemiology*; D013030:Spain / Q000453:epidemiology