| Discrimination between obstructive sleep apnea syndrome and primary snoring in children :
comparison of clinical parameters and behavioral disturbance |
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Hyun-Joo Seo1, Jae Suk Lee1, Hong-Beom Shin2, Eui-Joong Kim2, Hyun-Joon Shim3, Young-Min Ahn1 |
1Department of Pediatrics, Eulji University School of Medicine, Seoul, Korea
2Department of Psychiatry, Eulji University School of Medicine, Seoul, Korea
3Department of Otolaryngology, Eulji University School of Medicine, Seoul, Korea |
| 소아의 폐쇄성 수면무호흡 증후군과 일차성 코골이의 감별임상양상 및 행동장애 비교 |
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서현주1, 이재숙1, 신홍범2, 김의중2, 심현준3, 안영민1 |
1을지대학교 의과대학 을지병원 소아과학교실
2을지대학교 의과대학 을지병원 신경정신과
3을지대학교 의과대학 을지병원 이비인후과 |
Correspondence:
Young-Min Ahn, Email: aym3216@eulji.or.kr
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| Abstract |
Purpose
: To determine whether primary snoring could be distinguished from obstructive sleep apnea syndrome (OSAS) by clinical evaluation and symptom scores.
Methods
: 56 snoring and 20 asymptomatic subjects were recruited and polysomnography was used to confirm that there were 39 OSAS, 17 primary snoring, and 20 control subjects. We evaluated the size of the childrens adenoids and tonsils. Parents completed sleep disordered breathing scale (SDBS) and obstructive sleep apnea 18 (OSA-18) questionnaires for use as symptom scores, as well as an attention deficit hyperactivity disorder rating scale-IV (ADHD RS-IV).
Results
: There were no differences between primary snoring and OSAS in terms of tonsil and adenoid size, SDBS (9.4?.6 vs 10.8?.5), and OSA-18 score (61.1?5.1 vs 71.2?.4). The patients with OSAS (15.8?.9) and PS (22.2?.4) had a higher ADHD RS-IV score than the control subjects (2.9?.3). There was no difference in the ADHD RS-IV scores of patients with primary snoring and OSAS.
Conclusion
: We confirmed that clinical evaluation could not distinguish OSAS and primary snoring. In addition, our study suggests that primary snoring as well as OSAS is associated with attention deficit hyperactivity disorder. |
| Key Words:
Obstructive sleep apnea syndrome, Primary snoring, Attention deficit hyperactivity disorder, Polysomnography |
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