Journal of Sleep Disorders: Treatment and CareISSN: 2325-9639

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Research Article, J Sleep Disor Treat Care Vol: 5 Issue: 2

Sleep Pattern in Primary Enuretic Children

Ibrahim MA1,2,*, Al-Hashel JY2,3, Rashad MH4
1Department of Neurology, Faculty of Medicine, Al-Azhar University, Egypt
2Department of Neurology, Ibn Sina hospital, Kuwait
3Department of Medicine, Faculty of Medicine, Health Sciences Centre, Kuwait University, Kuwait
4Department of clinical neurophysiology, Faculty of Medicine, Cairo University,Egypt
Corresponding author :Ibrahim MA
Department of Neurology, Faculty of Medicine, Al-Azhar University, Egypt
Tel: 0096566216516
Received: March 03, 2015 Accepted: April 12, 2016 Published: April 17, 2016
Citation: Ibrahim MA, Al-Hashel JY, Rashad MH (2016) Sleep Pattern in Primary Enuretic Children. J Sleep Disor: Treat Care 5:2. doi:10.4172/2325-9639.1000172


Objectives: Nocturnal enuresis is a common problem in children. A disturbance of sleep was suggested as a pathogenetic factor. Our aim is to compare sleep of primary nocturnal enuretic children with a group of matched controls.

Subjects and methods: This study was carried out on two groups; Patient group: included 20 patients; 13 males and 7 females with primary monosymptomatic nocturnal enuretic. Age range between 6-15 years and control group: included 20 apparently healthy subjects (10 males and 10 females) without any urological, neurological or other medical diseases. Nocturnal enuresis sheet, sleep questionnaire, Intelligence quotient and overnight polysomnography were applied.

Results: Nocturnal enuresis was common in males than females in patient group with no significant difference. Family history of NE was positive in 65% of cases. Excessive somnolence was significantly higher in patients than in control group. Arousal disorders and sleep wake transition disorders were common in patient group than control group with no significant difference between the two groups. There was a significant increase in stage 3 and 4 duration and a highly significant decrease in arousal index in patients in comparison to the control group. There was no statistically significant difference in sleep latency, REM latency and stage 1 & 2 duration in patients in comparison to control group. Enuretic events were distributed across the night and not related to specific sleep stage.

Conclusions: It seems that some children with primary nocturnal enuresis are deep sleepers. A high arousal threshold may be one of the pathogenetic factors underlying primary nocturnal enuresis.

Keywords: Primary nocturnal enuresis; Sleep disorders; Polysomnography; Arousal index; Bed wetting

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