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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
07:54

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

Hyperactivity and attention deficit syndrome in obstructive sleep apnea syndrome: is there improvement with surgical

Silke Anna Thereza Weber1, Arlindo Cardoso Lima Neto, Fernando José de Souza Ternes

  • 1Depto. OFT/ORL/CCP, Faculdade de Medicina de Botucatu UNESP, Brazil. silke@fmb.unesp.br

Brazilian Journal of Otorhinolaryngology
|August 19, 2006
PubMed

Insights

Surgery for obstructive ventilatory disorders (OVD) significantly improved neuropsychological symptoms in children, particularly those aged 8-10. This highlights the link between breathing issues and cognitive function in pediatric patients.

Area of Science:

  • Pediatric Medicine
  • Neuroscience
  • Otolaryngology

Background:

  • Obstructive ventilatory disorders (OVD) are often linked to neuropsychological conditions in children.
  • Early identification and intervention are crucial for managing these co-occurring issues.

Purpose of the Study:

  • To investigate the prevalence of neuropsychological disorders in Brazilian children diagnosed with OVD.
  • To evaluate the impact of adenotonsillectomy on these neuropsychological symptoms.

Main Methods:

  • A cohort of 30 children with OVD was divided into three age groups (4-7, 8-10, and 11+ years).
  • Parents completed a 30-question screening tool assessing attention deficit, hyperactivity, and impulsivity.
  • Children were diagnosed if they reported 3 or more positive symptoms; follow-up occurred 6 months post-surgery.

Main Results:

  • A majority of participants were male (60.6%).
  • Group II (8-10 years) showed the most substantial improvements post-surgery.
  • Reductions in attention deficit ranged from 87.5% to 33.3%, hyperactivity from 75% to 50%, and impulsivity from 50% to 33%.

Conclusions:

  • Adenotonsillectomy led to significant neuropsychological improvements in children with OVD, especially in the 8-10 age group.
  • Enhanced collaboration among healthcare professionals is recommended for optimal diagnosis and management of these patients.
Abstract

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