Adenoid-tonsillectomy to treat visual dysfunction in a child with craniosynostosis.
We report a child with isolated saggital synostosis where a gradual deterioration of the P100 component of the pattern reversal visual evoked potential recorded during the day was associated with episodes of upper airway obstruction during sleep that correlated with periods of ICP spiking. Adenoid-tonsillectomy reversed this deterioration with coincident increase in SaO2 and decreased sleep apnoea.
Liasis
A
A
Visual Science Unit, Institute of Child Health, University College London, UK.
Nischal
K K
KK
Leighton
S
S
Yap
S
S
Hayward
R
R
Dunaway
D
D
D000233:Adenoidectomy; D002675:Child, Preschool; D003398:Craniosynostoses / Q000150:complications* / Q000503:physiopathology; D005074:Evoked Potentials, Visual / Q000502:physiology; D006801:Humans; D008297:Male; D020181:Sleep Apnea, Obstructive / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D014068:Tonsillectomy; D014786:Vision Disorders / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*