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Volume 352:1607-1608 April 14, 2005 Number 15
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Attention Deficit–Hyperactivity Disorder

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by Rappley, M. D.
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To the Editor: Rappley's review of attention deficit–hyperactivity disorder (Jan. 13 issue)1 omits important diagnoses that can mimic attention-deficit disorders — sleep disorders and convulsive disorders. Increased daytime behavioral problems occur with sleep disorders, and vice versa.2,3,4,5 Daytime inattention and fidgetiness often result from sleep-disordered breathing (including obstructive sleep apnea and upper airway resistance syndrome) and periodic limb movements of sleep, which may occur in isolation or with the restless legs syndrome. These conditions result in hypoxemia and sleep fragmentation. Narcolepsy can also make a child appear inattentive when he or she has very brief naps. Children with primary generalized . . . [Full Text of this Article]



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