The objective of this study was to determine if primary care providers (PCPs) screen for sleep disorders during clinical evaluation new patients, and compare likely diagnoses as assessed by validated questionnaires.Adult patients evaluated in a clinic at tertiary center were included prospective study. Following their appointment, completed the Cleveland Sleep Habits questionnaire (CSHQ), Berlin questionnaire, Epworth Sleepiness Scale (ESS), STOP questionnaire. encounters subsequently...

This study aimed to examine the effect of sleep state (rapid eye movement [REM] versus non-rapid [NREM]) and position (supine non-supine position) on obstructive respiratory events distribution in adolescent population (ages 12 18 y).This was a retrospective that included 150 subjects between ages y with an apnea-hypopnea index (AHI) > 1/h. Subjects using REM sleep-suppressant medications history genetic anomalies or craniofacial syndromes were excluded.The median age 14 interquartile range...

Children with Down syndrome (DS) commonly have obstructive sleep apnea (OSAS) and may assume a unique sleeping position not systematically described previously. We describe this in DS explore its relationship OSAS comparison to control children (CC).Overnight video-polysomnograms (PSG) of consecutive (age 2-18 y), referred our center between April 2008 October 2009, were retrospectively analyzed by single scorer (ES). CC group comprised age gender matched, non-syndromic, neurologically...

Vici syndrome is a rare congenital multisystem disorder due to recessive mutations in the key autophagy regulator EPG5. characterized by agenesis of corpus callosum, hypopigmentation, immunodeficiency, cataracts, and cardiomyopathy, with variable additional involvement. Here we report on 5-year-old girl who presented global developmental delay, seizures, callosal agenesis, sensorineural hearing loss, immunodeficiency low CD4 count recurrent infections. EPG5 sequencing (prompted suggestive...

Recurrent/residual adenoid hypertrophy after adenotonsillectomy in children can result obstructive sleep apnea (OSA). We aimed to assess the role of soft tissue neck X-ray (STN-XR) evaluating recurrent/residual hypertrophy.

Sleep-disordered breathing (SDB) is a frequently recognized comorbidity in infants and children with achondroplasia due to alterations craniofacial upper airway anatomy. Foramen magnum stenosis cervicomedullary compression can be associated SDB this population, requiring prompt evaluation by multidisciplinary teams. Untreated adverse cardiovascular, metabolic, behavioral effects children, necessitating early screening treatment of underlying causes. Cervicomedullary also increased mortality...

Adult-onset Still disease (AOSD) is an uncommon clinical entity that predominantly affects young adults. One of the most common presentations fever unknown origin. Early diagnosis can be difficult because origin more commonly seen with other conditions such as malignancy or infection. Ambiguity in presentation and lack serologic markers make difficult. We describe here 18-year-old African-American man who presented fever, sore throat, arthritis at initial admission, serology positive for...

Pacemaker induced superior vena cava syndrome is an unusual complication of pacemaker implantation. Endothelial damage caused by repeated trauma from the lead thought to be responsible for stenosis. Malignancy has been historically most common etiology. However, increase in use indwelling venous catheters and cardiac resulted more patients with benign etiology.A 54-year-old female presented recurrent spasm swelling neck duration two months. was implanted 1997 symptomatic third degree heart...

Primary lymphomas of the skull are extremely rare, as fewer than 20 cases have been reported in literature. We describe case a 51-year-old woman with Huntington chorea who presented forehead swelling. Imaging studies detected an enhancing mass some destruction underlying bone. These features were suggestive osteomyelitis. Surgical excision was performed, and found to be primary diffuse large B-cell lymphoma. The patient administered postoperative chemotherapy, she complete remission at...

Abstract Introduction Children with Pierre-Robin sequence (PRS) are known to have a high association sleep-disordered breathing (SDB). Mandibular distraction osteogenesis (MDO), surgical process involving lengthening of the jaw, has been used improve SDB in these patients, preventing need for tracheostomy or positive airway pressure therapy. Currently, limited data regarding polysomnographic outcome after mandibular is available. Therefore, we aimed assess prevalence pediatric patients PRS...

Abstract Introduction As per our knowledge, very limited number of studies have investigated the effect sleep states and body positions on respiratory events distribution in toddlers aged 12-24 months. We aimed to investigate this relationship specific age group. Methods This was a single center, retrospective study that included normal between ages 12 24 months diagnosed with OSA overnight polysomnography. Toddlers obstructive apnea hypopnea index (OAHI) 2 or greater were included. Patients...

Abstract Introduction Children with Craniofacial Syndrome (CFS) are known to have a higher risk for Obstructive Sleep Apnea (OSA) due various craniofacial abnormalities. We aim assess OSA prevalence in single cohort of children suffering from CFS and stratify them by degree (mild, moderate, severe) the overall management CFS. Methods This was single-center retrospective study that included confirmed who underwent overnight polysomnography (PSG). severity categorized obstructive...

Neuroendocrine hyperplasia of infancy is a rare form pediatric interstitial lung disease presenting with hypoxemia, tachypnea, retractions, and persistent pulmonary crackles in the first year life. As these children frequently require supplemental oxygen therapy demonstrate nighttime there concern for an increased prevalence sleep-disordered breathing this population, including obstructive sleep apnea. untreated associated adverse developmental outcomes children, it essential to promptly...

Abstract Introduction The influence of body position and sleep state on obstructive respiratory events distribution in children with Down syndrome (DS) need further studies. Methods This was a single center, retrospective study that included younger than 18 years old DS who were evaluated for suspected disordered breathing underwent full overnight polysomnography an academic disorders center over period 10 years. Obstructive apnea hypopnea index (OAHI) ≥ 1.5 this study. Total OAHI, (AHI)...

Abstract Introduction The effect of body position and sleep state on events distribution in infants ages 6 to 12 months needs further study. We aimed study this determine the difference with without disordered breathing. Methods This was a single center, retrospective that included who were evaluated for suspected breathing underwent full overnight polysomnography an academic disorders center over period 10 years. Infants obstructive apnea hypopnea index (OAHI) central (CAI) ≥ 1 (sleep [SDB]...