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2000, Number 3

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Rev Inst Nal Enf Resp Mex 2000; 13 (3)

Breathing and sleep. An interesting clinical case. Three-year old boy with severe obstructive sleep apnea and pulmonary hypertension reversed by adeno-tonsillectomy.

Vázquez-García JC, Meza-Vargas S, Méndez VJL

Language: Spanish
References: 27
Page: 163-169
PDF size: 363.20 Kb.


ABSTRACT

The case of a boy, 3 years and 11 months of age, with adeno-tonsilar hypertrophy, habitual snoring, witnessed apneas and disrupted sleep is presented. The polysomnogram recording was showed severe obstructive sleep apnea with an apnea-hypopnea index of 63.9 events per hour of sleep. In addition, severe hypoxemia and hypoventilation with mean values of 70.8% SaO2 and 53 mmHg PCO2et were observed. Furthermore, pulmonary hypertension and signs suggestive of cor pulmonale were found. Treatment with adeno-tonsillectomy normalized obstructive sleep apnea. A description of the clinical case, the polysomnogram and a theme review are presented.


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