Obstructive Sleep Apnea in a Child: Case Report of an Unusual Cause of Disturbed Sleep in Pediatric Age Group
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 12
Abstract
Introduction: Obstructive sleep apnea (OSA) in children is characterized by episodic complete or partial airway obstruction that occurs during sleep. Major components of obstructive sleep apnea include episodic hypoxia, intermittent hypercapnia and disturbed sleep. Case Report: A 3 year old girl presented to us with difficulty in breathing and complaints of snoring and abnormal limb movements during sleep along with daytime somnolence. There was also a history of frequent awakening and parents reported that she was not sleeping longer than 4 hours at a stretch. She also had daytime hyperactivity, inattention and undue fidgety. Developmentally she was normal and there was no evidence of any developmental delay. Physical examination was normal except for her weight being less than - 1 SD for expected. Routine investigations turned out to be normal except for mild anemia. Considering the symptoms of sleep disturbance and daytime somnolence along with the history of hyperactivity we thought to rule out obstructive sleep apnea and advised Polysomnography. On Polysomnography she was found to be having Obstructive sleep apnea. Conclusion: Obstructive Sleep Apnea is an important cause of disturbed sleep, daytime somnolence and hyperactivity in children. In any child presenting with these complaints OSA must be ruled out by polysomnography.
Authors and Affiliations
Fahad Aleem, Sara Iqbal, Mohammed Asrar Ul Huq Iqbal, Yusra Iqbal
Keywords
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