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Updated: May 15, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Sleep-disordered breathing in children with neurodisabilities
Kristien Vanhaverbeke1,2,3, Merve Selçuk4,3, Refika Ersu5
1Department of Paediatric Respiratory Medicine, Royal Brompton Hospital, London, UK.
Insights
Sleep-disordered breathing (SDB) is common in children with neurodisabilities, affecting their quality of life. This review highlights the growing recognition and treatment of SDB in these children.
Area of Science:
- Pediatric Pulmonology
- Neurodevelopmental Pediatrics
- Sleep Medicine
Background:
- Sleep-disordered breathing (SDB) is increasingly recognized in children with neurodisabilities.
- Affected children may present with obstructive sleep apnea, central sleep apnea, nocturnal hypoxemia, hypoventilation, or combinations.
- The impact of SDB on quality of life in this population is significant.
Purpose of the Study:
- To review the literature on SDB in children with neurodisabilities over the past two decades.
- To focus on children with cerebral palsy, inborn errors of metabolism, and other genetic conditions causing neurodisability.
Main Methods:
- Systematic literature review.
- Focused analysis on specific neurodisability cohorts: cerebral palsy, inborn errors of metabolism, and genetic conditions (e.g., Rett syndrome).
Main Results:
- SDB is prevalent and diverse in children with neurodisabilities.
- Growing evidence supports the investigation and treatment of SDB in this cohort.
- Surgical procedures and respiratory interventions like non-invasive ventilation are increasingly considered.
Conclusions:
- SDB is a critical concern in pediatric neurodisability.
- Paradigm shift towards active management of SDB in these children.
- Further research and tailored interventions are warranted.
Abstract:
The prominence of sleep-disordered breathing (SDB) in children with neurodisabilities is increasingly becoming apparent. Patients can manifest not only obstructive sleep apnoea but also central sleep apnoea, nocturnal hypoxaemia and hypoventilation or often a combination thereof. The impact of SDB on quality-of-life measures has been increasingly demonstrated. This in turn is powering a paradigm shift, where investigation of SDB and subsequent treatment with surgical procedures or respiratory interventions, such as noninvasive ventilation, are increasingly considered in this cohort of patients, whereas historically they may not have been, given perceived barriers to successful treatment. In this review, we aim to summarise the literature on SDB in children with neurodisabilities published in the past two decades. We have concentrated on three main groups of children with neurodisabilities, namely those with cerebral palsy, those with inborn errors of metabolism where disease-modifying therapies are available for selected conditions and those with other genetic conditions resulting in significant neurodisability, such as Rett syndrome.
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