Systematic evaluation of sleep disorders in children is necessary. Were marked by the absence of episodes of sleepwalking and enuresis.Ĭonclusions. Polygraphy made after 12 months revealed moderate predominantly obstructive SAS with 5/hour apnea index, so tonsillectomy is recommended. In the context of recurrent respiratory infections in 2011 underwent adenoidectomy. Coming from a hostile environment (mother with untreated psychiatric pathology), child presents hyperkinesia, abnormal behavior, heteroaggression, school adaptation difficulties despite a higher average level of intelligence (IQ = 110). Asthma is controlled by medication (montelukastum). Poor growth and weight gain (BMI = 13,29 kg/m2), hypertrophic tonsils and nocturnal sleep disturbances (somnilocvia, ambulatory automatism, heavy snoring, enuresis) are present. The assessment was made by history, physical examination, laboratory investigations (biological, imaging, functional) and interdisciplinary evaluations. We present a male patient aged 9 years, diagnosed at age 7 with asthma, hypertrophic adeno-tonsillitis, nocturnal enuresis and emotional reactive disorder. Etiopathogenesis evaluation of sleep disorders in a school school-aged child with adeno-hypertrophic tonsillitis. Nocturnal enuresis, behavioral disorders and impaired nutritional status frequently accompanies SAS.Īim. Sleep apnea (SAS) affects 2-5% of children, mostly belonging to the age group 2-8 years. Sleep disorders in children are underdiagnosed.
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