No Sleep for the Squeaky Infant

Rahul Seth, Jyoti Krishna and Paul Krakovitz

in A Case a Week: Sleep Disorders from the Cleveland Clinic

Published on behalf of Oxford University Press

Published in print September 2010 | ISBN: 9780195377729
Published online April 2013 | e-ISBN: 9780199322985 | DOI:
No Sleep for the Squeaky Infant

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Case 16 introduces a boy born at 7 lbs, 1 oz at a gestational age of 36 weeks, was born with an imperforate anus and anal atresia requiring an anoplasty and diverting colostomy on his first day of life. He was kept intubated with an appropriately sized endotracheal tube for 2 days and was subsequently extubated. He was discharged home at 2 weeks of age in stable condition without any significant breathing difficulties while in the hospital. Flexible fiberoptic laryngoscopy (FFL) revealed evidence of the suspected diagnosis of laryngomalacia, and at 7 months of age, the baby underwent pediatric polysomnography, revealing severe obstructive sleep apnea (OSA) with an apnea-hypopnea index (AHI) of 32.0.

Chapter.  2164 words.  Illustrated.

Subjects: Neurology ; Sleep Medicine

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