[Guest]

My son had a sleep study last year his pediatric doctor was finally able to get results.He is 13 years old ADHD with behavioal problems. Now she is referring us to a ENT becuse of the results. What does this report mean our appointment is not for a couple weeks. Is there concern about this. Procedure Central & occipital EEG, right and left eye leads, submentalis EMG airflow chest & abdominal movement arterial oxygen saturation ETCO2 anteriior tibialis EMG and two-lead ECG were monitored. Sleep was staged in 30 seconds epocha. Sleep architecture: time in bed 392 minutes Sleep period 386.5 minutes Total sleep 371.5 minutes. Sleep efficiency 94.8% Sleep latency zero minutes REM latency 44.5 mins. WASO 4% stage I 4% Stage II 41% Stage 3 and 4 27% Stage REM 24% Arousal index 5.7 Apnea and hypopnea index 3.7 Tech comments REM sleep was difficult to detrmine. EOG movements were slight. REM sleep was scored by decrease in chin EMG amplitude and corresponding EEG amplitude ETCO@ difficult to interpret at times Loud snoring was heard cardiac Regular rate and rhythm. Sleep stage analysis all stages of sleep were achieved with very short sleep latency and drecreassed REm latency. Baseline oxygen saturation 97% and end tidal CO2 at baseline with patient asleep was increased at 49-51 torr. Several episodes of partial to complete obstructioon were noted lasting 12-73 secinds. Only one was associated with 4% oxygen saturation drop with oxygen saturation reamining greater than 94% throughtout the study. The end tidasl CO2 was initially increased although we do not know the baaseline awaake. Some of the episodes of obstructive breathiing were associated with an increase in end tidal CO2 of 405 torr. Impression Mild sleep disorder of breathing with episodes of partial to complete obstruction without sinificant hypoxemia. End tidal CO2 was increased at the beginning of the study. this pattern could be considtent with upper airway resistance syndrome. Thanks for your help.

[Guest]

What you describe sounds concerning for obstructive sleep apnea. The ETCO2 information would have been very helpful as would the number of apneas or hypopneas. One of the most important parts of sleep studies in children is that the criteria for diagnosing obstructive sleep apnea is different from that of adults. Many sleep centers unfortunately are not aware of this. Removing the tonsils and adeniods is the treatment of choice for the vast majority of children with OSA. See what the ENT specialist says about the surgery. The description above would make surgery reasonable but I can't say that for sure without seeing him and the sleep study myself.
[quote] My son had a sleep study last year his pediatric doctor was finally able to get results. He is 13 years old ADHD with behavioal problems... [/quote]