[Sleep-disordered breathing in early childhood: their neurocognitive repercussions]

M Ángeles Idiazábal-Alecha1, Marta Fernández-Prats

  • 1Clinica Nuestra Senora del Pilar, Barcelona, Espana.

Revista De Neurologia
|September 26, 2014
PubMed

Insights

Sleep-disordered breathing in children, including snoring and obstructive sleep apnea, can cause behavioral and cognitive issues. Early treatment is key, as these deficits may be reversible.

Area of Science:

  • Pediatric Sleep Medicine
  • Neurodevelopmental Disorders
  • Respiratory Medicine

Background:

  • Sleep-disordered breathing (SDB) encompasses conditions from primary snoring to obstructive sleep apnea syndrome in young children.
  • SDB is linked to behavioral and cognitive impairments, including attention deficits and learning/memory problems, even in milder cases.

Purpose of the Study:

  • To review the clinical features of SDB in early childhood.
  • To focus on associated neurocognitive and behavioral deficits and their underlying pathophysiological mechanisms.

Main Methods:

  • Literature review of clinical manifestations and pathophysiological mechanisms of SDB in children.
  • Analysis of studies linking SDB severity to neurocognitive and behavioral outcomes.

Main Results:

  • SDB negatively impacts children's cognitive and behavioral functioning to varying degrees, irrespective of disorder severity.
  • Neurocognitive deficits associated with SDB can be reversed with timely and effective treatment.

Conclusions:

  • Early identification and intervention for SDB are crucial for mitigating long-term neurocognitive and behavioral consequences in children.
  • Even resolved SDB presents a persistent risk for daytime conduct disorders, highlighting the importance of ongoing monitoring.

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