A Case of Childhood Obstructive Sleep Apnea Syndrome.
- Author:
Hong Beom SHIN
;
Yu Jin LEE
;
Do Un JEONG
- Publication Type:Case Report
- Keywords:
Sleep apnea syndrome;
Child;
Narcolepsy;
Enuresis;
Parasomnia;
Somnambulis
- MeSH:
Adenoidectomy;
Apnea;
Child;
Continuous Positive Airway Pressure;
Craniofacial Abnormalities;
Diagnosis, Differential;
Enuresis;
Humans;
Hypertrophy;
Life Style;
Narcolepsy;
Obesity;
Parasomnias;
Sleep Apnea Syndromes;
Sleep Apnea, Obstructive*;
Snoring;
Tonsillectomy;
Weight Loss
- From:Sleep Medicine and Psychophysiology
2004;11(2):106-109
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Adenotonsillar hypertrophy is the leading cause of childhood obstructive sleep apnea. Obstructive sleep apnea syndrome in child-hood, however, can occur from various causes such as obesity or craniofacial abnormalities. Childhood obstructive sleep apnea syndrome can be accompanied by enuresis, parasomnias and behavior problems. For patients with the symptoms of snoring and apnea, obstructive sleep apnea should be suspected and diagnosed properly. In addition, the evaluation of complications and proper treatment are indispensable. When the cause of childhood obstructive sleep apnea is adenotonsillar hypertrophy, symptoms can be improved by surgical methods. If the cause is other than adenotonsillar hypertrophy, such as obesity, it should be treated with other therapeutic modalities, like nasal continuous positive airway pressure (nCPAP), weight reduction and modification of life style. This paper reports a case of nCPAP used to manage severe sleep apnea when it was not resolved after adenoidectomy and tonsillectomy. Differential diagnosis of narcolepsy in a case with excessive daytime sleepiness and reflections on accompanying enuresis and parasomnia were also described.
