TY - JOUR
T1 - Narcolepsy with obstructive sleep apnea in a 4-year-old korean girl
T2 - A case report
AU - Kwon, Soonhak
AU - Jang, Kyungmi
AU - Hwang, Sukyung
AU - Cho, Minhyun
AU - Seo, Hyeeun
PY - 2013/5
Y1 - 2013/5
N2 - 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.
AB - 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.
KW - Children
KW - Narcolepsy without cataplexy
KW - Obstructive sleep apnea
UR - http://www.scopus.com/inward/record.url?scp=84878602329&partnerID=8YFLogxK
U2 - 10.3346/jkms.2013.28.5.792
DO - 10.3346/jkms.2013.28.5.792
M3 - Article
C2 - 23678276
AN - SCOPUS:84878602329
SN - 1011-8934
VL - 28
SP - 792
EP - 794
JO - Journal of Korean Medical Science
JF - Journal of Korean Medical Science
IS - 5
ER -