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Pediatrics - Three Types of Sleep Apnea

  • Central Apnea - part of brain doesn't start or maintain the breathing process properly - neurological causes have OSA
  • Obstructive Sleep Apnea (OSA) - OSA involves pauses in breathing that occurs when tissue in the back of the throat collapses and blocks the airway as you sleep.
  • Mixed (combination of Central and Obstructive) - can occur when child is asleep or awake.

Symptoms of OSA in Children

  • Snoring, Labored Breathing, Gasping for Air and Sleeping in Unusual Position
  • Falling Asleep or Excessive Daydreaming
  • Daytime Fatigue
  • Excessive Sweating During Sleep
  • School or Other Behavioral Problems
  • Restless Sleep
  • Difficult to Wake Up
  • Headaches in the Morning
  • Irritable, Aggressive or Cranky
  • Bed-Wetting by School-aged Children

As many as 45% of Down-Syndrome Children have OSA

Should I Worry If My Child Snores? It Depends

  • 20% of Normal Children Occasionally Snore
  • 7-10% Snore Nightly
  • Children Who Snore Face TWICE as Much Risk of Being Inattentive
    and Hyperactive
  • 2 Types of Snoring - Primary - Not Harmful; OSA
  • Sleep Apnea is present in up to 3% of School-aged Children
  • OSA Peaks in Children 2-5 years of age

ADHD and  Sleep Apnea

  • ADHD Affects Between 4 and 12% of School-aged Children
  • Sleep Disturbances Act as Imitators of ADHD
  • Research Suggests That ADHD and Sleep Apnea Are Related
  • Sleep Study should be done to Determine if ADHD or Sleep Apnea

Testing patients two years of age and up.

Common Sleep Disorders in Teens

  • Obstructive Sleep Apnea
  • Delayed Sleep Phase Syndrome - affects 7% of Teens; they feel wide awake until 3am.
  • Narcolepsy (A Genetic Disorder) - An MSLT (Multi Sleep Latency Test) will be needed in order to diagnosis

Signs & Symptoms of a Sleep Disorder in a Teen

  • Snoring, Labored Breathing and / or Gasping for Air
  • Emotional and Behavioral Problems
  • Habitual Napping
  • Struggling to Stay Awake while reading, watching T.V. and/or Attending Class

Do You Think Your Child May Have A Sleep Disorder?

  • Keep a Journal
     - How Many Hours Did He/She Sleep?
     - How Many Times Did He/She Wake?
     - Did You Hear Your Daughter/Son Snoring, Stop Breathing? 
  • Contact Your Doctor
  • Have a Sleep Study