Nocturnal apnea in Chiari type I malformation
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Lonneke A. M. Aarts & Michèl A. A. P. Willemsen & Nele L. E. VandenBussche & René van Gent
- چاپ و سال / کشور: 2011
Description
A 4-year-old girl presented with sleep-disordered breathing. Her parents described breathing pauses of up to 20 s and progressive tiredness during the day. Obstructive apneas from an enlarged adenoid were thought to be the most probable cause. However, an adenotomy did not resolve the problem. Polysomnography demonstrated central apneas, and cerebral magnetic resonance imaging revealed a Chiari type I malformation. We describe the differential diagnosis of apnea in children and the role of polysomnography in the distinction between obstructive and central apneas. Conclusion: This case illustrates that, in children with apnea, it is important to consider central causes as well as the more common obstructive causes, even in the absence of additional neurological signs or symptoms.
Eur J Pediatr DOI 10.1007/s00431-011-1500-z Received: 30 March 2011 / Accepted: 17 May 2011
