수면정신생리

수면정신생리 (27권2호 77-81)

Severe Obstructive Sleep Apnea in a 7-Year-Boy with Achondroplasia : A Case Report

7세 연골 무형성증 남아에서 진단된 중증 폐쇄성 수면 무호흡증 1례

Jeongju Hwang, Ju-Hee Seo

Department of Pediatrics, Dankook University Hospital, Dankook University College of Medicine

DOI : https://doi.org/10.14401/KASMED.2020.27.2.77

Abstract

Obstructive sleep apnea (OSA) is a sleep-related breathing disorder in which narrowing and obstruction of the upper airway lead to frequent arousal and decreased arterial oxygenation during sleep. OSA is more common in children with genetic disorders like achondroplasia compared to children without genetic disorders. Achondroplasia is genetic disorder characterized by hypoplasia of the facial bone and skull base with foramen magnum stenosis, resulting in exceedingly high frequency of OSA. The authors present a case of a patient with achondroplasia diagnosed with severe OSA through polysomnography after adenectomy showed little therapeutic effect and who was treated with continuous positive airway pressure.

Keywords

Achondroplasia·Continuous positive airway pressure·Obstructive sleep apnea·Polysomnography