Book contents
- Case Studies in Sleep Neurology
- Case Studies in Sleep Neurology
- Copyright page
- Dedication
- Contents
- ContentsThe following cases described herein have been published previously
- Foreword
- Contributors
- Abbreviations
- Introduction
- Part I Sleep-related breathing disorders
- Case 1 Opioid-induced central sleep apnea
- Case 2 Fourteen-year-old with sleep-disordered breathing and excessive daytime sleepiness
- Case 3 A harsh noise in the night
- Case 4 An infant with obstructed breathing
- Part II Hypersomnias of central origin
- Part III Circadian rhythm disorders
- Part IV Parasomnias
- Part V Sleep-related epilepsy
- Part VI Sleep and stroke
- Part VII Sleep-related movement disorders
- Part VIII Neuromuscular disorders and sleep
- Appendix: Epworth Sleepiness Scale
- Index
Case 4 - An infant with obstructed breathing
from Part I - Sleep-related breathing disorders
Published online by Cambridge University Press: 10 November 2010
Edited by
Book contents
- Case Studies in Sleep Neurology
- Case Studies in Sleep Neurology
- Copyright page
- Dedication
- Contents
- ContentsThe following cases described herein have been published previously
- Foreword
- Contributors
- Abbreviations
- Introduction
- Part I Sleep-related breathing disorders
- Case 1 Opioid-induced central sleep apnea
- Case 2 Fourteen-year-old with sleep-disordered breathing and excessive daytime sleepiness
- Case 3 A harsh noise in the night
- Case 4 An infant with obstructed breathing
- Part II Hypersomnias of central origin
- Part III Circadian rhythm disorders
- Part IV Parasomnias
- Part V Sleep-related epilepsy
- Part VI Sleep and stroke
- Part VII Sleep-related movement disorders
- Part VIII Neuromuscular disorders and sleep
- Appendix: Epworth Sleepiness Scale
- Index
Summary
This chapter describes the case of a 7.5-month-old Caucasian infant with a birthweight of 3.9 kg, born full term to a 35-year-old mother. It presents the clinical history, examination, follow-up, treatment, diagnosis, and the results of the procedures performed on the patient. The patient's pediatrician suspected an upper respiratory tract infection and treated her with "Infants' Cold Formula" with no relief. A soft-tissue X-ray of her neck revealed hypertrophy of her adenoids, which were obstructing the nasal airway. There was paradoxical inward rib-cage motion during inspiration throughout much of the study. Tachypnea was present, particularly during REM sleep. The diagnosis based on the polysomnography (PSG) results was severe obstructive sleep apnea (OSA), pediatric. The patient's symptoms and O2 saturation improved immediately thereafter. A follow-up sleep study 2 months later revealed that the patient no longer demonstrated an obstructive breathing pattern or impairment in gas exchange.
- Type
- Chapter
- Information
- Case Studies in Sleep NeurologyCommon and Uncommon Presentations, pp. 23 - 30Publisher: Cambridge University PressPrint publication year: 2010