Narcolepsy with Obstructive Sleep Apnea in a 4-Year-Old Korean Girl: A Case Report
Journal of Korean Medical Science
;
: 792-794, 2013.
Artículo
en Inglés
| WPRIM
| ID: wpr-80564
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Tonsilectomía
/
Adenoidectomía
/
Polisomnografía
/
Apnea Obstructiva del Sueño
/
Pueblo Asiatico
/
República de Corea
/
Trastornos de Somnolencia Excesiva
/
Metilfenidato
/
Narcolepsia
Límite:
Child, preschool
/
Femenino
/
Humanos
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Journal of Korean Medical Science
Año:
2013
Tipo del documento:
Artículo
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