Sleep-related laryngospasm: a video-polysomnographic recording.
We present a case of laryngospasm in a 12-year-old male who experienced sudden, nocturnal episodes of breathing difficulties and agitation. Apart from laryngospasm, the main differential diagnoses included frontal seizures, sleep-related choking syndrome, sleep asthma, sleep apnoea and REM sleep behaviour disorder. The video and the EEG recordings supported the diagnosis of laryngospasm. The pH-metry confirmed the existence of reflux. Its treatment successfully controlled the episodes. This case illustrates, with a typical video recording, this infrequent type of paroxysmal event with an important differential diagnosis.[Published with video sequences].
Clinical Neurophysiology Section, Department of Neurology, Clínica Universitaria, University of Navarra, Pamplona, Navarra, Spain. jiriarte@unav.es
Jorge
J
Iriarte
Elena
E
Urrestarazu
Manuel
M
Alegre
Concepción
C
Goñi
César
C
Viteri
Julio
J
Artieda
D002648:Child; D003937:Diagnosis, Differential; D004569:Electroencephalography; D006801:Humans; D007826:Laryngismus / Q000175:diagnosis*; D008297:Male; D017286:Polysomnography / Q000379:methods*; D012893:Sleep Wake Disorders / Q000175:diagnosis*; D014741:Video Recording