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Permalink Reply by RockRpsgt on March 10, 2011 at 12:43

Hello

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Permalink Reply by RockRpsgt on March 10, 2011 at 12:48

Sorry my first post vanished.

 

My daughter was my first true sleep pt. Now she educates others on the importance of good sleep.

 

http://www.sleepguide.com/forum/topics/a-nine-year-old-sleep

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Permalink Reply by Kath Hope on March 10, 2011 at 13:28

Great story there Rock, and thanks for sharing.  I can see  your daughter carrying on in your footsteps in her career!

Rock Hinkle said:

Sorry my first post vanished.

 

My daughter was my first true sleep pt. Now she educates others on the importance of good sleep.

 

http://www.sleepguide.com/forum/topics/a-nine-year-old-sleep

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Permalink Reply by RockRpsgt on March 13, 2011 at 6:56

http://www.ncbi.nlm.nih.gov/pubmed/21189956

 

Korean J Pediatr. 2010 Oct;53(10):863-71. Epub 2010 Oct 31.

Obstructive sleep apnea syndrome in children: Epidemiology, pathophysiology, diagnosis and sequelae.

Chang SJ, Chae KY.

Department of Pediatrics, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

Abstract

The prevalence of pediatric obstructive sleep apnea syndrome (OSAS) is approximately 3% in children. Adenotonsillar hypertrophy is the most common cause of OSAS in children, and obesity, hypotonic neuromuscular diseases, and craniofacial anomalies are other major risk factors. Snoring is the most common presenting complaint in children with OSAS, but the clinical presentation varies according to age. Agitated sleep with frequent postural changes, excessive sweating, or abnormal sleep positions such as hyperextension of neck or abnormal prone position may suggest a sleep-disordered breathing. Night terror, sleepwalking, and enuresis are frequently associated, during slow-wave sleep, with sleep-disordered breathing. Excessive daytime sleepiness becomes apparent in older children, whereas hyperactivity or inattention is usually predominant in younger children. Morning headache and poor appetite may also be present. As the cortical arousal threshold is higher in children, arousals are not easily developed and their sleep architectures are usually more conserved than those of adults. Untreated OSAS in children may result in various problems such as cognitive deficits, attention deficit/hyperactivity disorder, poor academic achievement, and emotional instability. Mild pulmonary hypertension is not uncommon. Rarely, cardiovascular complications such as cor pulmonale, heart failure, and systemic hypertension may develop in untreated cases. Failure to thrive and delayed development are serious problems in younger children with OSAS. Diagnosis of pediatric OSAS should be based on snoring, relevant history of sleep disruption, findings of any narrow or collapsible portions of upper airway, and confirmed by polysomnography. Early diagnosis of pediatric OSAS is critical to prevent complications with appropriate interventions.

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