[Severe obstructive sleep apnea syndrome in a toddler].

Abstract

We report the case of a 3-year-old boy who had experienced intense snoring, frequent awakenings, intense respiratory effort during sleep, and delayed growth starting at the age of 15 months. He underwent adenoidectomy at 18 months. Symptoms initially improved but reappeared 3 months after surgery. He underwent a second adenoidectomy, this time with tonsillectomy, but there was no significant clinical improvement. Polysomnography revealed severe sleep apnea-hypopnea with an apnea-hypopnea index of 45. Continuous positive airway pressure improved sleep quality, although some symptoms, mainly snoring, persisted. A third adenoidectomy was necessary to normalize his breathing pattern during sleep.

• Authors: Virginia León Miranda, Angeles Sánchez Armengol, Aránzazu Ruiz García, Carmen Carmona Bernal, Georgina Botebol Benhamou, Francisco Capote Gil
• Journal: Archivos de bronconeumologia (Arch Bronconeumol) Vol. 43 Issue 5 Pg. 289-91 (May 2007) ISSN: 0300-2896 [Print] Spain
• Vernacular Title: Síndrome de apnea obstructiva del sueño infantil de presentación grave.
• PMID: 17519141 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adenoidectomy
• Child, Preschool
• Humans
• Male
• Severity of Illness Index
• Sleep Apnea, Obstructive (diagnosis, surgery)