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Melatoninbehandling av et blindt barn med store sövnforstyrrelser
Engelsk titel: Melatonin treatment of a blind child with serious sleep disorders Läs online Författare: Ramstad K ; Loge JH Språk: Nor Antal referenser: 12 Dokumenttyp: Fallbeskrivning UI-nummer: 02051516

Tidskrift

Tidsskrift for Den Norske Laegeforening 2002;122(10)1005-6 ISSN 0029-2001 E-ISSN 0807-7096 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

BACKGROUND : Children with developmental and neurological disabilities are prone to develop serious sleep-wake cycle disorders that may be difficult to treat. INTERPRETATION : Melatonin is a promising treatment alternative for serious sleep problems in blind children. RESULTS : A 5-year old blind boy with multiple disabilities developed a chronic sleep-wake cycle disorder as his main clinical problem. Treatment included introduction of strict sleep habits and strengthening of environmental "zeitgebers". After five months melatonin 3 mg was administered at night for 4 weeks. The observation period also included 3 weeks without melatonin. Sleep was registered prospectively by a sleep diary. Strict sleep habits combined with strengthening of "zeitgebers" partially improved the sleep problems, but did not establish a normal sleep pattern. When melatonin was added, he normalized his sleep pattern in a few days. His sleep problems returned during the weeks in which he did not receive melatonin. No side effects were observed. MATERIAL AND METHODS : Case history.