1235 Sleep Architecture in School-age Children with Spastic Cerebral Palsy

Abstract Introduction 10 cases of school-age children with a diagnosis of spastic cerebral palsy (CP) are described, which are within the APAC. Comprehensive Care Model. where diagnosis, rehabilitation, formal and alternative education are received in which polysomnography (PSG) with the international 10-20 system and simultaneous video was indicated, due to neurological risk factors and a recently implemented diagnostic protocol. Report of case(s) 10 children (age: 8.3±1.8; females: n=7 70%. An increased sleep latency was shown (32.8 ± 32), with expected REM sleep latency (103.1 ± 37.7), without alterations regarding the sleep macrostructure, with an increased awakening rate (10.9 ± 4.8). Regarding the respiratory part, with a mean apnea-hypopnea index (AHI) of (5.5 ±4.7), 50% of the participants had more than 4 events per hour with a predominance of hypopneas during REM and supine position. Abnormal activity was recorded in 100%, with predominance in the left hemisphere (60%), with detection of motor manifestations in 80%; Only 70% of these patients have treatment for epilepsy. Finally, sweating artifact was detected in 60% of cases. Conclusion These are school-age children diagnosed with CP who have data on sleep fragmentation associated with the presence of abnormal electroencephalographic activity and obstructive sleep apnea-hypopnea syndrome. Multidisciplinary management of the detected nosological entities is recommended, with the aim of reducing sleep fragmentation, regulating EEG activity and respiratory events; Likewise, continue with rehabilitation plans in order to improve spasticity that would help change position and reduce nocturnal diaphoresis. Support (if any)