Narcolepsy with Obstructive Sleep Apnea in a 4-Year-Old Korean Girl: A Case Report.
10.3346/jkms.2013.28.5.792
- Author:
Soonhak KWON
1
;
Kyungmi JANG
;
Sukyung HWANG
;
Minhyun CHO
;
Hyeeun SEO
Author Information
1. Department of Pediatrics, Kyungpook National University, School of Medicine, Daegu, Korea. she0922@hanmail.net
- Publication Type:Case Reports
- Keywords:
Narcolepsy Without Cataplexy;
Obstructive Sleep Apnea;
Children
- MeSH:
Adenoidectomy;
Asian Continental Ancestry Group;
Child, Preschool;
Disorders of Excessive Somnolence/diagnosis;
Female;
Humans;
Methylphenidate/therapeutic use;
Narcolepsy/complications/*diagnosis/surgery;
Polysomnography;
Republic of Korea;
Sleep Apnea, Obstructive/*diagnosis/drug therapy/surgery;
Tonsillectomy
- From:Journal of Korean Medical Science
2013;28(5):792-794
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 4-yr-old girl has exhibited severe snoring, restless sleep and increasing daytime sleepiness over the last 3 months. The physical examination showed that she was not obese but had kissing tonsils. Polysomnography demonstrated increased apnea-hypopnea index (AHI) of 5.2, and multiple sleep latency tests (MSLT) showed shortened mean sleep latency and one sleep-onset REM period (SOREMP). She was diagnosed with obstructive sleep apnea (OSA) and underwent tonsillectomy and adenoidectomy. After the surgery, her sleep became much calmer, but she was still sleepy. Another sleep test showed normal AHI of 0.2, the mean sleep latency of 8 min, and two SOREMPs. Diagnosis of OSA to be effectively treated by surgery and narcolepsy without cataplexy was confirmed. Since young children exhibiting both OSA and narcolepsy can fail to be diagnosed with the latter, it's desirable to conduct MSLT when they have severe daytime sleepiness or fail to get better even with good treatment.
