Five cases of near-miss sudden infant death syndrome and development of obstructive sleep apnea syndrome.
Five full-term infants were referred for "near miss" sudden infant death syndrome events, which occurred between 3 and 12 weeks of age. After a complete pediatric evaluation and 24-hour polygraphic monitoring, each infant was monitored at home with a cardiorespiratory monitor. Each was followed regularly (with repeat polygraphic recordings) up to 4 years of age. All five infants developed heavy snoring at night and symptoms of obstructive sleep apnea syndrome. The diagnosis of obstructive sleep apnea syndrome was confirmed by polygraphic recordings; surgery was recommended. Four of the five children underwent adenoidectomies between 3 and 4 years of age, and this significantly improved their condition. These five cases are the first polygraphically documented histories of the development of obstructive sleep apnea syndrome.
D000233:Adenoidectomy; D004594:Electrophysiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D008991:Monitoring, Physiologic; D012891:Sleep Apnea Syndromes / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D012895:Sleep, REM; D012913:Snoring / Q000601:surgery; D013398:Sudden Infant Death / Q000503:physiopathology*