PEDIATRICS Vol. 73 No. 1 January 1984, pp. 71-78
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Five Cases of Near-Miss Sudden Infant Death Syndrome and Development of Obstructive Sleep Apnea Syndrome

Christian Guilleminault MD1, Marianne Souquet MA1, R. L. Ariagno MD1, Rowena Korobkin MD1, and F. B. Simmons MD1

1 From the Stanford Sleep Disorders Center, Division of Neonatology, and Division of Otolaryngology, Stanford University School of Medicine, Stanford, California

Five full-term infants were referred for "near miss" sudden infant death syndrome events, which occurred between 3 and 12 weeks of age. After a complete pediatric evaluation and 24-hour polygraphic monitoring, each infant was monitored at home with a cardiorespiratory monitor. Each was followed regularly (with repeat polygraphic recordings) up to 4 years of age. All five infants developed heavy snoring at night and symptoms of obstrutive sleep apnea syndrome. The diagnosis of obstructive sleep apnea syndrome was confirmed by polygraphic recordings; surgery was recommended. Four of the five children underwent adenoidectomies between 3 and 4 years of age, and this significantly improved their condition. These five cases are the first polygraphically documented histories of the development of obstructive sleep apnea syndrome.

Key Words: airway obstruction • sleep apnea • near miss sudden infant death syndrome

Submitted on December 6, 1982
Accepted on June 13, 1983




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