Articole semnate de acelasi autor in Revista Romana de Pediatrie:

APNEEA IN SOMN: MANIFESTARE SAU CAUZA A CONVULSIILOR LA COPIL? PREZENTARE DE CAZ

Revista Romana de PEDIATRIE | Volumul LXIII, Nr. 3, An 2014

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

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Tamara-Marcela Marcovici, Oana Belei, Daniela Chiru, Ramona Stroescu, Giorgiana Brad, Laura Olariu and Otilia Marginean

REZUMAT

Introducere. Apneea în somn (SA) la copil este subdiagnosticată. Compromiterea dezvoltării somatice şi alterarea calităţii vieţii sunt frecvent prezente. Apneea centrală în somn (CSA) poate reprezenta cauza epi soadelor convulsive morfeice sau poate fi consecinţa acestora. Polisomnografi a reprezintă gold-standardul evaluării obiective a SA. Material şi metodă. Prezentăm un băiat în vârstă de 7 ani internat în septembrie 2013 pentru episoade de sufocare survenite în timpul somnului. Evaluarea s-a realizat prin anamneză, examen clinic, investigaţii paraclinice (funcţionale, imagistice, biologice) şi consulturi interdisciplinare. Rezultate. Repetate infecţii de căi respiratorii şi istoric de aproximativ 20 de zile al episoadelor de sufocare s-au stabilit anamnestic. Au fost diagnosticate următoarele: hipotrofi e ponderală; rinită cronică; hipertrofi e amigdaliană; disfuncţie ventilatorie obstructivă; apnee în somn formă mixtă predominant centrală; status atopic; sindrom convulsiv. Explorările imagistice au relevat aspecte normale. Tratamentul complex igieno-dietetic şi medica mentos a condus la dispariţia tulburărilor respiratorii în somn, cu normalizarea parametrilor spirometrici şi a statusului nutriţional. Concluzii. Studiul poligrafi c al somnului a identifi cat apneea în somn, precizând predominanţa componentei centrale şi facilitând diagnosticul etiologic. Managementul interdisciplinar a condus la evoluţia favorabilă a cazului.

Cuvinte cheie: apnee, somn, convulsie, copil

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Tamara-Marcela Marcovici

SLEEP APNEA: MANIFESTATION OR CAUSE OF SEIZURES IN CHILDREN? CASE REPORT

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Tamara-Marcela Marcovici, Oana Belei, Daniela Chiru, Ramona Stroescu, Giorgiana Brad, Laura Olariu and Otilia Marginean

ABSTRACT

Introduction. Sleep apnea (SA) in children is underdiagnosed. Compromising somatic development and alterated quality of life are frequently present. Central sleep apnea (CSA) may be the cause of convulsive episodes in sleep or could be their result. Polysomnography is the gold-standard of SA objective assessment. Material and methods. We present a 7-year-old boy hospitalized in September 2013 for choking episodes occurred during sleep. The assessment was made by history, clinical examination, laboratory investigations (functional, imaging, biological) and interdisciplinary checkups. Results. Repeated respiratory tract infection and a history of about 20 days of episodes of choking were established by anamnesis. Were diagnosed: underweight status; chronic rhinitis; tonsillar hypertrophy; obstructive ventilatory dysfunction; mixed sleep apnea with predominant central component; atopic status; convulsions. Imaging explorations revealed normal aspects. Complex hygienic-dietary and medical treatment has led to the disappearance of respiratory disorders during sleep, with normalization of spirometric parameters and nutritional status. Conclusions. Polygraphic sleep study identifi ed sleep apnea, indicating the predominance of the central component and facilitating etiologic diagnosis. Interdisciplinary management led to favorable evolution of the case

Keywords: apnea, sleep, convulsion, child

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Tamara-Marcela Marcovici