neurojourНеврологический журнал имени Л.О. БадалянаL.O. Badalyan Neurological Journal2686-89972712-794XФГАУ «НМИЦ здоровья детей» Минздрава России10.46563/2686-8997-2025-6-1-37-43vkxzieneurojour-167Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWSОсновные виды парасомний у детей и способы их коррекцииThe main types of parasomnias in children and methods of their correctionhttps://orcid.org/0000-0001-9211-5822БеловСтанислав АндреевичBelovStanislav A.

Ассистент кафедры неврологии КГМА – филиала ФГБОУ ДПО РМАНПО МЗ РФ, 420012, Казань, Россия

e-mail: 13btfkdarky@mail.ru

Assistant Professor of the Department of Neurology at Kazan State Medical Academy, Kazan State Medical Academy, Kazan, 420012, Russian Federation

e-mail: 13btfkdarky@mail.ru

13btfkdarky@mail.ruhttps://orcid.org/0000-0002-7072-7729ГубеевБулат ЭдуардовичGubeevBulat E.

Канд. мед. наук, доцент, доцент кафедры неврологии КГМА – филиала ФГБОУ ДПО РМАНПО МЗ РФ, 420012, Казань, Россия

e-mail: bulat.g@list.ru

PhD (Medicine), Associate Professor, Associate Professor of the Department of Neurology, Kazan State Medical Academy, Kazan, 420012, Russian Federation, Kazan State Medical Academy

e-mail: bulat.g@list.ru

bulat.g@list.ruhttps://orcid.org/0000-0002-6060-8005АлексееваОксана АлександровнаAlekseevaOksana A.

Канд. мед. наук, доцент, доцент кафедры неврологии КГМА – филиала ФГБОУ ДПО РМАНПО МЗ РФ, 420012, Казань, Россия

PhD (Medicine), Associate Professor, Associate Professor of the Department of Neurology, Kazan State Medical Academy, Kazan, 420012, Russian Federation

noemail@neicon.ruhttps://orcid.org/0000-0003-4411-7051ДевликамоваФарида ИльдусовнаDevlikamovaFarida I.

Доктор мед. наук, профессор, профессор кафедры неврологии КГМА – филиала ФГБОУ ДПО РМАНПО МЗ РФ, 420012, Казань, Россия

e-mail: fdevlikamova@mail.ru

DSc (Medicine), Professor, Professor at the Department of Neurology, Kazan State Medical Academy, Kazan, 420012, Russian Federation

e-mail: fdevlikamova@mail.ru

fdevlikamova@mail.ruКазанская государственная медицинская академия — филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияKazan State Medical AcademyRussian Federation202530042025613743Copyright © Белов С.А., Губеев Б.Э., Алексеева О.А., Девликамова Ф.И., 20252025Белов С.А., Губеев Б.Э., Алексеева О.А., Девликамова Ф.И.Belov S.A., Gubeev B.E., Alekseeva O.A., Devlikamova F.I.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.neuro-journal.ru/jour/article/view/167

Цель статьи — представить актуальный и современный обзор парасомний в детском возрасте и способы их фармакологической коррекции. Непреднамеренные двигательные явления у детей делятся на три основные группы: расстройства пробуждения; парасомнии, связанные с фазой быстрого сна; другие виды парасомний. Учёные рассматривают данную проблему многогранно, включая изучение модифицированных триггеров. Детально описаны виды патогенеза быстрого и медленного сна, виды парасомний при данных фазах. При постановке диагноза и диагностике необходимо учитывать анамнез и выявлять триггеры, и в этом объективная роль отводится видеополисомнографии. Следует обратить внимание на фармакологическую коррекцию парасомний, при которой назначаются препараты различных групп (антидепрессанты, транквилизаторы, анксиолитики, адаптогены), однако врачам, которые сталкиваются с данной проблемой, крайне важно понимать их природу и уметь проводить дифференциальную диагностику.

Участие авторов

Участие авторов: Белов С.А. — концепция и дизайн, написание текста;Губеев Б.Э. — написание текста, редактирование;Алексеева О.А. — написание текста, редактирование;Девликамова Ф.И. — концепция и дизайн, редактирование.Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи.

Конфликт интересов

Конфликт интересов. Авторы декларируют отсутствие явных и потенциальных конфликтов интересов в связи с публикацией данной статьи.

Финансирование

Финансирование. Исследование не имело спонсорской поддержки.

Поступила 14

Поступила 14.01.2025Принята к печати 04.02.2025Опубликована 30.04.2025

The purpose of the article is to present an up-to-date review of parasomnia in childhood and ways of their pharmacological correction. Unintended motor phenomena in children are classified into three main groups: arousal disorders, parasomnia associated with REM sleep, and other types of parasomnia, but scientific approaches consider this problem in a more multifaceted way, and modified triggers should be studied. The types of pathogenesis of REM and slow-wave sleep, and types of parasomnia in these phases are described in detail. When making a diagnosis, it is necessary to take into account the medical history and identification of triggers, and in this the objective role of video polysomnography is assigned. Attention should be paid to the pharmacological correction of parasomnia, in which drugs of various groups (antidepressants, tranquilizers, anxiolytics, adaptogens) are prescribed. However, it is extremely important for doctors who face this problem to understand their nature and be able to make a differential diagnosis.

Contributions

Contributions:Belov S.A. — concept and design, writing the text;Gubeev B.E. — writing the text, editing;Alekseeva O.A. — writing the text, editing;Devlikamova F.I. — concept and design, editing.All co-authors are responsible for the integrity of all parts of the manuscript and approval of its final version.

Acknowledgements

Acknowledgements. The study had no sponsorship.

Conflict of interest

Conflict of interest. The authors declare no conflict of interest.

Received

Received: January 14, 2025Accepted: February 4, 2025Published: April 30, 2025

парасомниядепривация снаобструктивное апноэ снасонный параличдетствоparasomniasleep deprivationobstructive sleep apneasleep paralysischildhoodReferencesMahowald M.W., Bornemann M.C., Schenck C.H. Parasomnias. Semin. Neurol. 2004; 24(3): 283–92. https://doi.org/10.1055/s-2004-835064Mahowald M.W., Bornemann M.C., Schenck C.H. Parasomnias. Semin. Neurol. 2004; 24(3): 283–92. https://doi.org/10.1055/s-2004-835064Paruthi S. Parasomnias in children. BMJ Best Practice. https://bestpractice.bmj.com/topics/en-gb/1177Paruthi S. Parasomnias in children. BMJ Best Practice. https://bestpractice.bmj.com/topics/en-gb/1177American Academy of Sleep Medicine. The international classification of sleep disorders. Westchester, IL; 2005.American Academy of Sleep Medicine. The international classification of sleep disorders. Westchester, IL; 2005.Carter K.A., Hathaway N.E., Lettieri C.F. Common sleep disorders in children. Am. Fam. Physician. 2014; 89(5): 368–77.Carter K.A., Hathaway N.E., Lettieri C.F. Common sleep disorders in children. Am. Fam. Physician. 2014; 89(5): 368–77.Levin R., Fireman G. Nightmare prevalence, nightmare distress, and self-reported psychological disturbance. Sleep. 2002; 25(2): 205–12.Levin R., Fireman G. Nightmare prevalence, nightmare distress, and self-reported psychological disturbance. Sleep. 2002; 25(2): 205–12.Bergmann M., Högl B., Stefani A. Clinical neurophysiology of REM parasomnias: Diagnostic aspects and insights into pathophysiology. Clin. Neurophysiol. Pract. 2024; 9: 53–62. https://doi.org/10.1016/j.cnp.2023.10.003Bergmann M., Högl B., Stefani A. Clinical neurophysiology of REM parasomnias: Diagnostic aspects and insights into pathophysiology. Clin. Neurophysiol. Pract. 2024; 9: 53–62. https://doi.org/10.1016/j.cnp.2023.10.003Guilleminault C. Sleepwalking and sleep terrors in prepubertal children: what triggers them? Pediatrics. 2003; 111(1): e17–25. https://doi.org/10.1542/peds.111.1.e17Guilleminault C. Sleepwalking and sleep terrors in prepubertal children: what triggers them? Pediatrics. 2003; 111(1): e17–25. https://doi.org/10.1542/peds.111.1.e17Kotagal S. Pathophysiology of parasomnias. In: Kothare S.V., Ivanenko A., eds. Parasomnias: Clinical Characteristics and Treatment. New York, NY: Springer; 2013: 9–15.Kotagal S. Pathophysiology of parasomnias. In: Kothare S.V., Ivanenko A., eds. Parasomnias: Clinical Characteristics and Treatment. New York, NY: Springer; 2013: 9–15.Foldvary-Schaefer N. Obstructive sleep apnea: A wake-up call for better outcomes. Cleve Clin. J. Med. 2019; 86(9 Suppl. 1): 1. https://doi.org/10.3949/ccjm.86.s1.01Foldvary-Schaefer N. Obstructive sleep apnea: A wake-up call for better outcomes. Cleve Clin. J. Med. 2019; 86(9 Suppl. 1): 1. https://doi.org/10.3949/ccjm.86.s1.01Bollu P.C., Goyal M.K., Thakkar M.M., Sahota P. Sleep medicine: parasomnias. Mo Med. 2018; 115(2): 169–75.Bollu P.C., Goyal M.K., Thakkar M.M., Sahota P. Sleep medicine: parasomnias. Mo Med. 2018; 115(2): 169–75.Левин Я.И. Парасомнии – современное состояние проблемы. Эпилепсия и пароксизмальные состояния. 2010; 2(2): 10–6. https://elibrary.ru/muggylLevin Ya.I. Parasomnias – current state of the issue. Epilepsiya i paroksizmal’nye sostoyaniya. 2010; 2(2): 10–6. https://elibrary.ru/muggyl (in Russian)Stallman H.M., Kohler M. Prevalence of sleepwalking: a systematic review and meta-analysis. PLoS One. 2016; 11(11): e0164769. https://doi.org/10.1371/journal.pone.0164769Stallman H.M., Kohler M. Prevalence of sleepwalking: a systematic review and meta-analysis. PLoS One. 2016; 11(11): e0164769. https://doi.org/10.1371/journal.pone.0164769Stallman H.M., Kohler M., White J. Medication induced sleepwalking: A systematic review. Sleep Med. Rev. 2018; 37: 105–13. https://doi.org/10.1016/j.smrv.2017.01.005Stallman H.M., Kohler M., White J. Medication induced sleepwalking: A systematic review. Sleep Med. Rev. 2018; 37: 105–13. https://doi.org/10.1016/j.smrv.2017.01.005Petit D., Pennestri M.H., Paquet J., Desautels A., Zadra A., Vitaro F., et al. Childhood sleepwalking and sleep terrors: a longitudinal study of prevalence and familial aggregation. JAMA Pediatr. 2015; 169(7): 653–8. https://doi.org/10.1001/jamapediatrics.2015.127Petit D., Pennestri M.H., Paquet J., Desautels A., Zadra A., Vitaro F., et al. Childhood sleepwalking and sleep terrors: a longitudinal study of prevalence and familial aggregation. JAMA Pediatr. 2015; 169(7): 653–8. https://doi.org/10.1001/jamapediatrics.2015.127Wills L., Garcia J. Parasomnias: epidemiology and management. CNS Drugs. 2002; 16(12): 803–10. https://doi.org/10.2165/00023210-200216120-00002Wills L., Garcia J. Parasomnias: epidemiology and management. CNS Drugs. 2002; 16(12): 803–10. https://doi.org/10.2165/00023210-200216120-00002Ariño H., Iranzo A., Gaig C., Santamaria J. Sexsomnia: parasomnia associated with sexual behaviour during sleep. Neurologia. 2014; 29(3): 146–52. https://doi.org/10.1016/j.nrl.2013.01.013Ariño H., Iranzo A., Gaig C., Santamaria J. Sexsomnia: parasomnia associated with sexual behaviour during sleep. Neurologia. 2014; 29(3): 146–52. https://doi.org/10.1016/j.nrl.2013.01.013Inoue Y. Sleep-related eating disorder and its associated conditions. Psychiatry Clin. Neurosci. 2015; 69(6): 309–20. https://doi.org/10.1111/pcn.12263Inoue Y. Sleep-related eating disorder and its associated conditions. Psychiatry Clin. Neurosci. 2015; 69(6): 309–20. https://doi.org/10.1111/pcn.12263Справочник MSD. Schwab R.J. Парасомнии. Available at: https://www.msdmanuals.com/ru/professional/неврологические-расстройства/нарушения-сна-и-бодрствования/парасомнииMSD Manual. Schwab R.J. Parasomnias. Available at https://www.msdmanuals.com/professional/neurologic-disorders/sleep-and-wakefulness-disorders/parasomniasRodriguez C.L., Foldvary-Schaefer N. Chapter 26 – Clinical neurophysiology of NREM parasomnias. In: Levin K.H., Chauvel P., eds. Handbook of Clinical Neurology Clinical Neurophysiology: Diseases and Disorders. Elsevier; 2019: 397–410.Rodriguez C.L., Foldvary-Schaefer N. Chapter 26 – Clinical neurophysiology of NREM parasomnias. In: Levin K.H., Chauvel P., eds. Handbook of Clinical Neurology Clinical Neurophysiology: Diseases and Disorders. Elsevier; 2019: 397–410.Bin-Hasan S., Videnovic A., Maski K. Nocturnal REM sleep without atonia is a diagnostic biomarker of pediatric narcolepsy. J. Clin. Sleep Med. 2018; 14(2): 245–52. https://doi.org/10.5664/jcsm.6944Bin-Hasan S., Videnovic A., Maski K. Nocturnal REM sleep without atonia is a diagnostic biomarker of pediatric narcolepsy. J. Clin. Sleep Med. 2018; 14(2): 245–52. https://doi.org/10.5664/jcsm.6944Sabater L., Gaig C., Gelpi E., Bataller L., et al. A novel NREM and REM parasomnia with sleep breathing disorder associated with antibodies against IgLON5: a case series, pathological features, and characterization of the antigen. Lancet Neurol. 2014; (13): 575–86. https://doi.org/10.1016/S1474-4422(14)70051-1Sabater L., Gaig C., Gelpi E., Bataller L., et al. A novel NREM and REM parasomnia with sleep breathing disorder associated with antibodies against IgLON5: a case series, pathological features, and characterization of the antigen. Lancet Neurol. 2014; (13): 575–86. https://doi.org/10.1016/S1474-4422(14)70051-1Sharpless B.A. Exploding head syndrome. Sleep Med. Rev. 2014; 18(6): 489–93. https://doi.org/10.1016/j.smrv.2014.03.001Sharpless B.A. Exploding head syndrome. Sleep Med. Rev. 2014; 18(6): 489–93. https://doi.org/10.1016/j.smrv.2014.03.001Tinuper P., Bisulli F., Provini F. The parasomnias: Mechanisms and treatment. Epilepsia. 2012; 53(Suppl. 7): 12–9. https://doi.org/10.1111/j.1528-1167.2012.03710.xTinuper P., Bisulli F., Provini F. The parasomnias: Mechanisms and treatment. Epilepsia. 2012; 53(Suppl. 7): 12–9. https://doi.org/10.1111/j.1528-1167.2012.03710.xAttarian H. Treatment options for parasomnias. Neurol. Clin. 2010; 28(4): 1089–106. https://doi.org/10.1016/j.ncl.2010.03.025Attarian H. Treatment options for parasomnias. Neurol. Clin. 2010; 28(4): 1089–106. https://doi.org/10.1016/j.ncl.2010.03.025Cleveland Clinic. Parasomnias: Causes, Symptoms, Types & Management. Available at: https://my.clevelandclinic.org/health/diseases/12133-parasomnias--disruptive-sleep-disordersCleveland Clinic. Parasomnias: Causes, Symptoms, Types & Management. Available at: https://my.clevelandclinic.org/health/diseases/12133-parasomnias--disruptive-sleep-disorders

The authors declare that there are no conflicts of interest present.