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Child's Nervous System

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01-05-2017 | Case Report

Evaluation of the central sleep apnea in asymptomatic children with Chiari 1 malformation: an open question

Authors: Marco Zaffanello, Francesco Sala, Luca Sacchetto, Emma Gasperi, Giorgio Piacentini

Published in: Child's Nervous System | Issue 5/2017

Abstract

Introduction

Type I is the most common Chiari malformation in children. In this condition, the lower part of the cerebellum, but not the brain stem, extends into the foramen magnum at the base of the skull leading to intermittent brain hypertension. In symptomatic children, central sleep apneas are shown in polysomnography evaluation. A central apnea index of 1/h or more is considered abnormal, but >5/h is clearly considered pathological. Therefore, central sleep apnea evaluation in pediatric age may show great age-related variability.

Method and subjects

We present three patients who were assessed by polysomnography with two different scores for central sleep apneas published in the literature: the method by Scholle (2011) and the American Academy of Sleep Medicine scoring system (2012).

Conclusions

We speculated that the Scholle scoring system can be more helpful in assessing children with asymptomatic Chiari 1 malformation for a closer follow-up. More studies are needed.

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Title: Evaluation of the central sleep apnea in asymptomatic children with Chiari 1 malformation: an open question
Authors: Marco Zaffanello
Francesco Sala
Luca Sacchetto
Emma Gasperi
Giorgio Piacentini
Publication date: 01-05-2017
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 5/2017
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-017-3399-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Evaluation of the central sleep apnea in asymptomatic children with Chiari 1 malformation: an open question

Abstract

Introduction

Method and subjects

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Method and subjects

Conclusions

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