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Published on: December 6, 2016
The utility of poly(somno)graphy in evaluating children with Chiari malformation type II before and after surgical
Foteini Vagianou1, Sonia Khirani1,2, Timothée de Saint Denis3
1Paediatric noninvasive ventilation and sleep unit, AP-HP, Hôpital Necker-Enfants malades, Paris, France.
Insights
Children with Chiari Malformation type II (CM-II) face a high risk of sleep apnea. Respiratory polygraphy is crucial for managing CM-II patients and is recommended for their follow-up care.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Neurosurgery
Background:
- Chiari Malformation type II (CM-II) is associated with an elevated risk of sleep-disordered breathing in children.
- Understanding the interplay between CM-II, clinical presentation, and sleep apnea is critical for effective patient management.
Purpose of the Study:
- To describe the management strategies for pediatric patients diagnosed with Chiari Malformation type II (CM-II).
- To correlate sleep apnea syndrome, clinical symptoms, and magnetic resonance imaging (MRI) findings in CM-II patients.
Main Methods:
- Retrospective case series analysis of 8 consecutive patients with CM-II.
- Evaluation of sleep apnea syndrome prevalence, clinical symptoms, and MRI findings.
- Assessment of treatment outcomes for severe sleep apnea, including surgery and noninvasive ventilation.
Main Results:
- A high prevalence of sleep apnea syndrome was observed, affecting 6 out of 8 pediatric patients with CM-II.
- Three patients with severe sleep apnea syndrome received interventions such as upper airway surgery and/or noninvasive ventilation.
- The study identified a significant association between CM-II and sleep-disordered breathing.
Conclusions:
- Respiratory polygraphy plays a vital role in the comprehensive management of children with Chiari Malformation type II.
- Routine poly(somno)graphy is recommended for the ongoing follow-up care of pediatric patients with CM-II to detect and manage sleep apnea.
Background:
Children with Chiari Malformation type II (CM-II) have an increased risk of sleep apnoea. The aim of the study was to describe the management of patients with CM-II in relation to sleep apnoea syndrome, clinical symptoms and magnetic resonance imaging (MRI) findings.
Case Series Presentation:
The paper reports 8 consecutive patients with CM-II followed between September 2013 and April 2017. The prevalence of sleep apnoea syndrome was high with 6 out of 8 patients having mild-to-severe sleep apnoea. Patients with severe sleep apnoea syndrome (3 patients) were treated with upper airway surgery and/or noninvasive ventilation.
Conclusion:
Our findings highlight the importance of respiratory polygraphy in the management of patients with CM-ΙΙ. Poly(somno)graphy is recommended in the follow-up care of children with CM-II.
