Obstructive Sleep Apnea in Down Syndrome

When your child with Down Syndrome sleeps is hissome of the common ones:Snoring or noisy breathing
head bent back in an odd position? Is he waking( okay, that's the obvious one), strange sleeping
frequently during the night, or is he a restlesspositions (for example with the neck
sleeper? Do you notice a lot of mouth breathinghyper-extended), restless sleep, frequent waking at
during the day, and at night? Read this for importantnight, mouth breathing, behavioral problems, weight
information concerning Down Syndrome and Sleeploss or not gaining weight at the expected rate.
Apnea. Obstructive Sleep Apnea occurs in over 50%How is Obstructive Sleep Apnea diagnosed? Your
of people with Down Syndrome. It has beenear, nose and throat doctor will likely recommend a
recommended by U.S. researchers that all childrentest called a polysomnography. A polysomnography is
with Down Syndrome be tested by the time theyusually done on an overnight basis. Your child will be
are three or four years of age.carefully monitored while he or she sleeps.
In children with heart problems, a common conditionTreatments for OSATreatments for OSA include:
in Down Syndrome, the decreased oxygen levels inremoval of the tonsils and/or adenoids, getting
the blood caused by OSA can cause some seriousallergies under control, or the use of CPAP.
complications. Therefore it is important to get itIn his article about OSA in children with Down
checked out if you notice any of the signs of OSA.Syndrome Dr. Len Leshin,MD,FAAP recommends that
In children with Down Syndrome OSA can be causedthe removal of tonsils and adenoids should not be
by a number of factors: low tone, flat facial profileday surgery. A child with Down Syndrome will usually
and the typical facial structure often seen in peoplehave a longer recovery period and he or she will also
with Down Syndrome, enlarged tonsils and/orhave longer periods of decreased oxygenation so this
adenoids, allergies and stuffy noses, the small mouthchild should be watched for a bit longer than a child
and seemingly large tongue.who does not have Down Syndrome.
The symptoms of OSA vary but here are listed