%0 Journal Article %1 Shintani1998 %A Shintani, T. %A Asakura, K. %A Ishi, K. %A Yoshida, M. %A Kataura, A. %A Ogasawara, H. %D 1998 %J Nippon Jibiinkoka Gakkai Kaiho %K Adenoidectomy; Adolescent; Adult; Cerebral Palsy; Child; Child, Preschool; Female; Humans; Male; Pharyngeal Diseases; Positive-Pressure Respiration; Questionnaires; Sleep Apnea Syndromes; Tongue Tonsillectomy %N 3 %P 266--271 %T Obstructive sleep apnea in children with cerebral palsy %V 101 %X To determine the etiology of obstructive sleep apnea (OSA) in children with cerebral palsy (CP), a survey using a questionnaire was conducted on parents of 233 CP children (1-5 years old, mean age: 2.7) and on those of 343 control children during a routine medical check-up at the age of three. The prevalence of habitual snoring and nasal obstruction was 63 and 20\% in CP children, which were significantly higher than in control children. Sleep apnea episodes and stridor were noted in 19.7 and 15.4\% of CP children. A screening sleep study was performed using Apnomonitor II and a pulseoximeter (Pulsox 5) in 48 CP children whose questionnaires revealed habitual snoring and sleep apnea, and it was found that 27 and 58\% of the children had on apnea-hypopnea index (AHI) of greater than 5 and a low level of SaO2 (LSaO2) of less than 85\%, respectively. When another 10 CP children visited our hospital for treatment of severe OSA, precise evaluations including pharyngeal pressure and fiberscopic examination during sleep as well as a sleep study using an inductive prezysmograph (Respigraph) were performed. Adenoid and/or tonsillar hypertrophy were noted in only 4 children, and the main cause of sleep apnea in the other 6 children was pharyngeal collapse at the lingual base. Their OSA was successfully treated by adenotonsillectomy in 2 children, adenotomy in 2 children, UPPP and lingualplasty in 1 child, tracheostomy in 2 children, and nasal CPAP in 1 child. Before treatment of OSA in CP children, precise evaluation is recommended in order to perform appropriate treatment.

@article{Shintani1998, abstract = {To determine the etiology of obstructive sleep apnea (OSA) in children with cerebral palsy (CP), a survey using a questionnaire was conducted on parents of 233 CP children (1-5 years old, mean age: 2.7) and on those of 343 control children during a routine medical check-up at the age of three. The prevalence of habitual snoring and nasal obstruction was 63 and 20\% in CP children, which were significantly higher than in control children. Sleep apnea episodes and stridor were noted in 19.7 and 15.4\% of CP children. A screening sleep study was performed using Apnomonitor II and a pulseoximeter (Pulsox 5) in 48 CP children whose questionnaires revealed habitual snoring and sleep apnea, and it was found that 27 and 58\% of the children had on apnea-hypopnea index (AHI) of greater than 5 and a low level of SaO2 (LSaO2) of less than 85\%, respectively. When another 10 CP children visited our hospital for treatment of severe OSA, precise evaluations including pharyngeal pressure and fiberscopic examination during sleep as well as a sleep study using an inductive prezysmograph (Respigraph) were performed. Adenoid and/or tonsillar hypertrophy were noted in only 4 children, and the main cause of sleep apnea in the other 6 children was pharyngeal collapse at the lingual base. Their OSA was successfully treated by adenotonsillectomy in 2 children, adenotomy in 2 children, UPPP and lingualplasty in 1 child, tracheostomy in 2 children, and nasal CPAP in 1 child. Before treatment of OSA in CP children, precise evaluation is recommended in order to perform appropriate treatment.}, added-at = {2014-07-19T21:21:26.000+0200}, author = {Shintani, T. and Asakura, K. and Ishi, K. and Yoshida, M. and Kataura, A. and Ogasawara, H.}, biburl = {https://www.bibsonomy.org/bibtex/22fd4f96f02b45548d7576cd764c680dd/ar0berts}, groups = {public}, interhash = {ba765deb7d0a5d16d862643081b9089e}, intrahash = {2fd4f96f02b45548d7576cd764c680dd}, journal = {Nippon Jibiinkoka Gakkai Kaiho}, keywords = {Adenoidectomy; Adolescent; Adult; Cerebral Palsy; Child; Child, Preschool; Female; Humans; Male; Pharyngeal Diseases; Positive-Pressure Respiration; Questionnaires; Sleep Apnea Syndromes; Tongue Tonsillectomy}, month = Mar, number = 3, pages = {266--271}, pmid = {9584465}, timestamp = {2014-07-19T21:21:26.000+0200}, title = {[Obstructive sleep apnea in children with cerebral palsy]}, username = {ar0berts}, volume = 101, year = 1998 }