Narcolepsy with obstructive sleep apnea in a 4-year-old korean girl: A case report

Soonhak Kwon, Kyungmi Jang, Sukyung Hwang, Minhyun Cho, Hyeeun Seo

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

A 4-yr-old girl has exhibited severe snoring, restless sleep and increasing daytime sleepiness over the last 3 months. The physical examination showed that she was not obese but had kissing tonsils. Polysomnography demonstrated increased apnea-hypopnea index (AHI) of 5.2, and multiple sleep latency tests (MSLT) showed shortened mean sleep latency and one sleep-onset REM period (SOREMP). She was diagnosed with obstructive sleep apnea (OSA) and underwent tonsillectomy and adenoidectomy. After the surgery, her sleep became much calmer, but she was still sleepy. Another sleep test showed normal AHI of 0.2, the mean sleep latency of 8 min, and two SOREMPs. Diagnosis of OSA to be effectively treated by surgery and narcolepsy without cataplexy was confirmed. Since young children exhibiting both OSA and narcolepsy can fail to be diagnosed with the latter, it's desirable to conduct MSLT when they have severe daytime sleepiness or fail to get better even with good treatment.

Original languageEnglish
Pages (from-to)792-794
Number of pages3
JournalJournal of Korean Medical Science
Volume28
Issue number5
DOIs
StatePublished - May 2013

Keywords

  • Children
  • Narcolepsy without cataplexy
  • Obstructive sleep apnea

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