Epilepsy and obstructive sleep apnea/hypopnea syndrome in younger children ― a dangerous duo
D.R. SIDORENKO, N.A. SHNAYDER, N.V. TERSKOVA
Krasnoyarsk State Medical University named after Prof. V.F. Voyno-Yasenetsky, 1 Partizan Zheleznyak Str., Krasnoyarsk, Russian Federation, 660022
Sidorenko D.R. ― postgraduate student of the Department of ENT Diseases, otolaryngologist of the Neurological center of Epileptology, Neurogenetics and Brain Research of the University Clinic, tel. +7-950-432-03-91, е-mail: sidorenko-dinara@mail.ru
Shnayder N.A. ― D. Med. Sc., Professor, Head of the Department of Medical Genetics and Clinical Neurophysiology of the Postgraduate Education Institute, Head of the Neurological Center of Epileptology, Neurogenetics and Brain Research of the University Clinic, tel. (391) 201-65-24, e-mail: nataliashnayder@gmail.com
Terskova N.V. ― D. Med. Sc., Associate Professor of the Department of ENT Diseases, otolaryngologist of the Neurological Center of Epileptology, Neurogenetics and Brain Research of the University Clinic, tel. +7-903-923-14-03, е-mail: terskovanatasha@mail.ru
ENT pathology, in particular, chronic adenoids, attracts special attention due to the fact that it has a high prevalence in children, especially of preschool and early school age. In clinical practice, chronic adenoiditis in children is interesting in conjunction with somatic comorbidity. The study of the prevalence and spectrum of nervous system diseases is of interest, in particular with the epileptogenesis provocation. In chronic adenoiditis and hypertrophy of the tonsils due to respiratory disturbances leading to severe ventilation and tissue hypoxia, the occurrence of epileptic attacks significantly increases. Aggravation of chronic adenoiditis in children with epilepsy is ascertained at the expense of obstructive sleep apnea/hypopnea (OSA). This issue is extremely important when determining the tactics and strategies of management and treatment of patients with comorbid pathology, their timely and interdisciplinary examinations.
Key words: children, pharyngeal tonsil hypertrophy, obstructive sleep apnea/hypopnea, diagnosis, chronic adenoiditis, polysomnography, epilepsy, hypoxia.
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