Narcolepsy with Obstructive Sleep Apnea in a 4-Year-Old Korean Girl: A Case Report
Journal of Korean Medical Science
; : 792-794, 2013.
Article
em En
| WPRIM
| ID: wpr-80564
Biblioteca responsável:
WPRO
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.
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Texto completo:
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Índice:
WPRIM
Assunto principal:
Tonsilectomia
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Adenoidectomia
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Polissonografia
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Apneia Obstrutiva do Sono
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Povo Asiático
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República da Coreia
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Distúrbios do Sono por Sonolência Excessiva
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Metilfenidato
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Narcolepsia
Limite:
Child, preschool
/
Female
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Humans
País/Região como assunto:
Asia
Idioma:
En
Revista:
Journal of Korean Medical Science
Ano de publicação:
2013
Tipo de documento:
Article