Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000080.xml
Download PDF
Sleep Breath 2000; 04(1): 0015-0020
DOI: 10.1055/s-2000-11531
DOI: 10.1055/s-2000-11531
Characteristics of Sleep-Related Obstructive Respiratory Disturbances in Childhood
Further Information
Publication History
Publication Date:
31 December 2000 (online)
ABSTRACT
Sleep-related obstructive respiratory disturbances in childhood differ significantly from the adult's obstructive sleep apnea syndrome (OSAS). In contrast to adults, in children with OSAS the disturbance of the macrostructure of sleep, the increase of the number of apneas and hypopneas, and the diminution of oxygen saturation are not so prominent. Restlessness of the sleep, as reflected by movement arousals together with cortical (electroencephalograph-recorded) arousals, is important. The combination of clinical symptoms and polysomnographic parameters is necessary to diagnose OSAS in children.
KEYWORD
obstructive sleep apnea syndrome (OSAS) - childhood - sleep structure - respiratory arousal
REFERENCES
- 1 Guilleminault C, Stoohs R. Obstructive sleep apnea syndrome in children. Pediatrician . 1990; 17 46-51
- 2 Guilleminault C, Pelayo R. Sleep-disordered breathing in children. Ann Med . 1998; 30 350-356
- 3 Marcus C L. Clinical and pathophysiological aspects of obstructive sleep apnea in children. Pediatr Pulmonol Suppl . 1997; 16 123-124
- 4 Perkin R M, Downey R, Macquarrie J. Sleep-disordered breathing in infants and children. Respir Care Clin North Am . 1999; 5 395-426
- 5 Poets C F, Paditz E. Obstruktives Schlaf-Apnoe-Syndrom. Monatsschr Kinderheilkd . 1998; 146 826-836
- 6 Ward S L, Marcus C L. Obstructive sleep apnea in infants and young children. J Clin Neurophysiol . 1996; 13 198-207
- 7 Warwick J P, Mason D G. Obstructive sleep apnoea syndrome in children. Anaesthesia . 1998; 53 571-579
- 8 Marcus C L, Lutz J, Carroll J L, Bamford O. Arousal and ventilatory responses during sleep in children with obstructive sleep apnea. J Appl Physiol . 1998; 84 1926-1936
- 9 Garay S M, Rapoport D, Sorkin B. Regulation of ventilation in the obstructive sleep apnea syndrome. Am Rev Respir Dis . 1981; 124 451-457
- 10 Isono S, Shimada A, Utsugi M, Konno A, Nishino T. Comparison of static mechanical properties of the passive pharynx between normal children and children with sleep-disordered breathing. Am J Respir Crit Care Med . 1998; 157 1204-1212
- 11 Guilleminault C, Philip P, Robinson A. Sleep and neuromuscular disease: Bilevel positive airway pressure by nasal mask as a treatment for sleep disordered breathing in patients with neuromuscular disease. J Neurol Neurosurg Psychiatry . 1998; 65 225-232
- 12 Carroll J L, McColley S A, Marcus C L, Curtis S, Loughlin G M. Inability of clinical history to distinguish primary snoring from obstructive sleep apnea syndrome in children. Chest . 1995; 108 610-618
- 13 Stradling J R, Thomas G, Warley A RH, Williams P, Freeland A. Effect of adenotonsillectomy on nocturnal hypoxemia, sleep disturbance, and symptoms in snoring children. Lancet . 1990; 335 249-253
- 14 Gozal D. Morbidity in pediatric obstructive sleep apnea: How much do we really know?. Sleep Res Online . 1999; 2(suppl 1) 673
- 15 Singer L P, Saenger P. Complications of pediatric obstructive sleep apnea. Otolaryngol Clin North Am . 1990; 23 665-676
- 16 Guilleminault C, Pelayo R, Leger D, Clerk A, Bocian R C. Recognition of sleep-disordered breathing in children. Pediatrics . 1996; 98 871-882
- 17 Marcus C L, Lutz J, Hamer A, Smith P L, Schwartz A. Developmental changes in response to subatmospheric pressure loading of the upper airway. J Appl Physiol . 1999; 87 626-633
- 18 McNamara F, Issa F G, Sullivan C E. Arousal pattern following central and obstructive breathing abnormalities in infants and children. J Appl Physiol . 1996; 81 2651-2657
- 19 Scholle S, Kemper A, Glaser S, Rieger B, Zwacka G. Methodische Aspekte polysomnographischer Untersuchungen im Kindesalter II. Welche Parameter charakterisieren einen unruhigen Schlaf?. Somnologie . 1999; 3 26-30
- 20 Brouilette R T, Hanson D, David R. A diagnostic approach to suspected obstructive sleep apnea in children. J Pediatr . 1984; 105 10-14
- 21 Scholle S, Zwacka G. Sleep structure in children with OSA with and without nCPAP therapy. Sleep Res Online . 1999; 2(suppl 1) 442
- 22 McNamara F, Sullivan C E. Effects of nasal CPAP therapy on respiratory and spontaneous arousals in infants with OSA. J Appl Physiol . 1999; 87 889-896
- 23 Mograss M A, Ducharme F M, Brouilette R T. Movement/arousal description, classification, and relationsship to sleep apnea in children. Am J Respir Crit Care Med . 1994; 150 1690-1696
- 24 Scholle S, Kemper A, Glaser S, Rieger B, Zwacka G. Methodische Aspekte polysomnographischer Untersuchungen im Kindesalter I. Arm- und Beinbewegungen und EEG-Arousals als Kriterien der Schlafbewertung. Somnologie . 1998; 2 184-188
- 25 Berry R B, Gleeson K. Respiratory arousal from sleep: Mechanisms and significance. Sleep . 1997; 20 654-675
- 26 Marcus C L, Moreira G A, Bamford O, Lutz J. Response to inspiratory resistive loading during sleep in normal children and children with obstructive apnea. J Appl Physiol . 1999; l87 1448-1454