alexa Sleep Apnea-Hypopnea Syndrome Associated with Rett Synd
ISSN: 2167-0277

Journal of Sleep Disorders & Therapy
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Case Report

Sleep Apnea-Hypopnea Syndrome Associated with Rett Syndrome. Respiratory pattern in the Awake State and Nocturnal Polysomnographic Study

Eusebi Chiner*, Jose N Sancho-Chust, Esther Pastor, Pedro Landete, Cristina Senent and Patricia Pérez-Ferrer
Pneumology Section, Hospital Universitario San Juan de Alicante, Alicante, Cta Alicante-Valencias/n. 03550, Sant Joan d’Alacant, Spain
Corresponding Author : Dr. Eusebi Chiner Vives
Sección de Neumología
Hospital Universitari de Sant Joan d’Alacant
Cta Alicante-Valencia s/n 03550 Sant Joan d’Alacant, Spain
Tel: 965938644
E-mail: [email protected]
Received July 21, 2014; Accepted September 29, 2014; Published October 8, 2014
Citation: Chiner E, Sancho-Chust JN, Pastor E, Landete P, Senent C, et al. (2014) Sleep Apnea-hypopnea Syndrome Associated with Rett Syndrome. Respiratory pattern in the Awake State and Nocturnal Polysomnographic Study. J Sleep Disord Ther 3:172. doi:10.4172/2167-0277.1000172
Copyright: © 2014 Chiner E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

A 14-year old girl with Rett syndrome was studied. The patient had roncopathy, sleepiness, decreased activity and performance, corrected kyphoscoliosis, obesity, retrognathia, ojival palate and dental malocclusion. Nocturnal polysomnography (PSG) showed a moderate obstructive and apparently central sleep apnea-hypopnea syndrome (SAHS) with associated hypoventilation, corrected by continuous positive airway pressure of 11 cm H2O. Respiratory monitoring in the awake state showed a characteristic pattern of episodes of hyperventilation with hypocapnia followed by central apnea and accompanying desaturations. We conclude that patients with Rett syndrome should be studied using PSG in order to rule out SAHS since multiple predisposing factors are often also present.

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