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Respiration during sleep in children with therapy‐resistant enuresis
Author(s) -
Nevéus Tryggve,
Leissner Lena,
Rudblad Stig,
Bazargani Farhan
Publication year - 2014
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12515
Subject(s) - enuresis , medicine , anesthesia , sleep (system call) , arousal , polysomnography , respiration , acoustic rhinometry , oxygen saturation , sleep stages , respiratory system , nasal cavity , pediatrics , audiology , apnea , surgery , psychiatry , oxygen , psychology , chemistry , organic chemistry , neuroscience , computer science , anatomy , operating system
Aim Although there is a known association between enuresis and snoring or sleep apnoeas, respiration during sleep has not been thoroughly studied in enuretic children. This study was performed with the aim of filling this gap in our knowledge. Methods Thirty‐four children with therapy‐resistant enuresis, but no history of heavy snoring or sleep apnoeas, underwent sleep registrations, including standard electroencephalography ( EEG ) and electrooculography ( EOG ) as well as registration of oxygen saturation, respiratory effort and nasal air flow. To assess nasal airway patency, rhinomanometry and acoustic rhinometry were performed before and after nasal decongestion. Results The children were found to have a higher than expected apnoea hypopnoea index ( AHI ), due to a high frequency of hypopnoeas. They were also noted to have a tendency for respiratory arousals. Standard polysomnographic variables were normal. Conclusion We provide baseline data of nocturnal respiration in enuretic children. The children were found to have subclinical signs of disordered respiration. This may be one of the explanations for their high arousal thresholds.

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