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Clinical manifestations of obstructive sleep apnea in children

Clinical manifestations of obstructive sleep apnea in children
Nighttime symptoms
  • Snoring
  • Labored breathing; paradoxical abdominal movements
  • Apneas, pauses in breathing, or gasping
  • Mouth breathing
  • Restless or agitated sleep
  • Sleeping in unusual positions (neck extended)
  • Nighttime sweating, preference for minimal clothing
  • Nocturnal enuresis or nocturia
  • Sleepwalking, sleep terrors, or confusional arousals
Daytime symptoms
  • Mouth breathing, hyponasal speech
  • Poor school functioning or other behavioral concerns (inattentiveness, difficulty learning, hyperactivity, impulsivity, irritability, rebelliousness, aggression)
  • Sleepiness (eg, falls asleep at school or in the car, or excessive napping)
  • Morning headache
Potential consequences in childhood
  • Attention deficit hyperactivity disorder (ADHD) or disruptive behavior disorders
  • Poor growth (especially in infants and young children)
  • Hypertension
  • Altered cardiac morphology (right and left ventricular hypertrophy)
  • Pulmonary hypertension
Courtesy of Shalini Paruthi, MD.
Graphic 111055 Version 3.0