Daytime Hypoxia, Sleep Disturbance, Nocturnal Hypoxaemia and Retarded Growth in Young Children Who Snore (Before and After Adenotonsillectomy) Compared with Control Children

  • J. R. Stradling
  • G. Thomas
  • A. Freeland
Conference paper


This short paper describes the preliminary findings of an unfinished prospective study. Sleep apnoea in children is a well-recognized condition but is generally regarded as rare and easily recognized when a problem. However, previous reports have emphasized the diverse, and often nonspecific, symptoms and presentations of such children [1-3]. The symptoms varied from hyperactivity, bad behaviour and poor school performance, through to lethargy, withdrawal and severe psychological problems [1]. The usual cause of the sleep apnoea was tonsillar enlargement [1]. Thus we wondered if sleep apnoea was being underdiagnosed in children with recurrent tonsillitis because of the non-specificity of symptoms.




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  1. 1.
    Guilleminault C, Korobkin R, Winkle R (1981) A review of 50 children with obstructive sleep apnoea. Lung 159: 275–287PubMedCrossRefGoogle Scholar
  2. 2.
    Guilleminault C (1987) Obstructive sleep apnoea syndrome and its treatment in children. Pediatr Pulmonol 3: 429–436PubMedCrossRefGoogle Scholar
  3. 3.
    Guilleminault C, Winkle R, Korobkin R, Simmons B (1982) Children and nocturnal snoring: evaluation of the effects of sleep related respiratory resistive load and daytime functioning. Eur J Pediatr 139: 165–171PubMedCrossRefGoogle Scholar
  4. 4.
    Stradling JR, Thomas G, Belcher R (1988) Analysis of overnight sleep patterns by automatic detection of movement on video recordings. J Amb Mon 1: 217–222Google Scholar
  5. 5.
    Maw AR (1985) Tonsillectomy today. Arch Dis Child 61: 421–423CrossRefGoogle Scholar
  6. 6.
    Finkelstein JW, Roffwarg HP, Boyar RM, Kream J, Hellman L (1972) Age-related change in the 24 hour spontaneous secretion of growth hormone. J Clin Endocrinol Metab 35: 665–670PubMedCrossRefGoogle Scholar
  7. 7.
    Karacan I, Rosenbloom AL, Williams RL, Finley WW, Hursch CJ (1971) Slow wave sleep disruption in relation to plasma growth hormone concentration. Behav Neuropsychol 2: 665–670Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • J. R. Stradling
    • 1
  • G. Thomas
    • 2
  • A. Freeland
    • 2
  1. 1.Oster Chest UnitChurchill HospitalOxfordUnited Kingdom
  2. 2.Oster Chest Unit and Department of OtolaryngologyOxford HospitalsOxfordUnited Kingdom

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