Sleep apnea in children with refractory monosymptomatic nocturnal enuresis

Sleep apnea in children with refractory monosymptomatic nocturnal enuresis

Ashraf El-Mitwalli,1 Adel Salah Bediwy,2 Ashraf Ahmed Zaher,1 Tamer Belal,1 Abdel Baset M Saleh3 1Neurology Department, Faculty of Medicine, Mansoura University, Mansoura, 2Chest Department, Faculty of Medicine, Tanta University, Tanta, 3Chest Department, Faculty of Medicine, Mansoura University, M...

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Autores principales: El-Mitwalli A, Bediwy AS, Zaher AA, Belal T, Saleh AB
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2014
Materias:
Psychiatry
RC435-571
Neurophysiology and neuropsychology
QP351-495
Acceso en línea:https://doaj.org/article/d30d0b46e0984c0485e12c12e8877131
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spelling oai:doaj.org-article:d30d0b46e0984c0485e12c12e88771312021-12-02T05:00:01ZSleep apnea in children with refractory monosymptomatic nocturnal enuresis1179-1608https://doaj.org/article/d30d0b46e0984c0485e12c12e88771312014-03-01T00:00:00Zhttp://www.dovepress.com/sleep-apnea-in-children-with-refractory-monosymptomatic-nocturnal-enur-a16106https://doaj.org/toc/1179-1608 Ashraf El-Mitwalli,1 Adel Salah Bediwy,2 Ashraf Ahmed Zaher,1 Tamer Belal,1 Abdel Baset M Saleh3 1Neurology Department, Faculty of Medicine, Mansoura University, Mansoura, 2Chest Department, Faculty of Medicine, Tanta University, Tanta, 3Chest Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt Background: Children with nocturnal enuresis (NE) are believed to have deep sleep with high arousal threshold. Studies suggest that obstructive sleep apnea–hypopnea syndrome (OSAHS) and NE are common problems during childhood. We sought to assess the prevalence of OSAHS in children with refractory NE and whether its severity is associated with the frequency of bedwetting. Methods: The study group comprised 43 children with refractory monosymptomatic NE and a control group of 30 children, both aged 6–12 years. All subjects underwent thorough neurological examination, one night of polysomnography only for the patient group, and a lumbosacral plain X-ray to exclude spina bifida. Results: The groups were well matched. Two subjects of the control group had mild OSAHS. The mean age of the patients was (9.19±2.4 years), 26 were boys, and 67% showed frequent NE (>3 days bedwetting/week). Patients with NE had significantly higher rates of OSAHS (P<0.0001); three patients had mild, 12 had moderate, and eleven showed severe OSAHS. There was no significant statistical difference among patients having OSAHS in relation to age, sex, or family history of NE. The frequency of bedwetting was statistically significantly higher in patients with severe OSAHS (P=0.003). Conclusion: Patients with refractory NE had a significantly higher prevalence of OSAHS with no sex difference. The frequency of bedwetting was higher in patients with severe OSAHS. Keywords: nocturnal enuresis, refractory, OSAEl-Mitwalli ABediwy ASZaher AABelal TSaleh ABDove Medical PressarticlePsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol 2014, Iss default, Pp 37-42 (2014)
institution DOAJ
collection DOAJ
language EN
topic Psychiatry
RC435-571
Neurophysiology and neuropsychology
QP351-495
spellingShingle Psychiatry
RC435-571
Neurophysiology and neuropsychology
QP351-495
El-Mitwalli A
Bediwy AS
Zaher AA
Belal T
Saleh AB
Sleep apnea in children with refractory monosymptomatic nocturnal enuresis
description Ashraf El-Mitwalli,1 Adel Salah Bediwy,2 Ashraf Ahmed Zaher,1 Tamer Belal,1 Abdel Baset M Saleh3 1Neurology Department, Faculty of Medicine, Mansoura University, Mansoura, 2Chest Department, Faculty of Medicine, Tanta University, Tanta, 3Chest Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt Background: Children with nocturnal enuresis (NE) are believed to have deep sleep with high arousal threshold. Studies suggest that obstructive sleep apnea–hypopnea syndrome (OSAHS) and NE are common problems during childhood. We sought to assess the prevalence of OSAHS in children with refractory NE and whether its severity is associated with the frequency of bedwetting. Methods: The study group comprised 43 children with refractory monosymptomatic NE and a control group of 30 children, both aged 6–12 years. All subjects underwent thorough neurological examination, one night of polysomnography only for the patient group, and a lumbosacral plain X-ray to exclude spina bifida. Results: The groups were well matched. Two subjects of the control group had mild OSAHS. The mean age of the patients was (9.19±2.4 years), 26 were boys, and 67% showed frequent NE (>3 days bedwetting/week). Patients with NE had significantly higher rates of OSAHS (P<0.0001); three patients had mild, 12 had moderate, and eleven showed severe OSAHS. There was no significant statistical difference among patients having OSAHS in relation to age, sex, or family history of NE. The frequency of bedwetting was statistically significantly higher in patients with severe OSAHS (P=0.003). Conclusion: Patients with refractory NE had a significantly higher prevalence of OSAHS with no sex difference. The frequency of bedwetting was higher in patients with severe OSAHS. Keywords: nocturnal enuresis, refractory, OSA
format article
author El-Mitwalli A
Bediwy AS
Zaher AA
Belal T
Saleh AB
author_facet El-Mitwalli A
Bediwy AS
Zaher AA
Belal T
Saleh AB
author_sort El-Mitwalli A
title Sleep apnea in children with refractory monosymptomatic nocturnal enuresis
title_short Sleep apnea in children with refractory monosymptomatic nocturnal enuresis
title_full Sleep apnea in children with refractory monosymptomatic nocturnal enuresis
title_fullStr Sleep apnea in children with refractory monosymptomatic nocturnal enuresis
title_full_unstemmed Sleep apnea in children with refractory monosymptomatic nocturnal enuresis
title_sort sleep apnea in children with refractory monosymptomatic nocturnal enuresis
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/d30d0b46e0984c0485e12c12e8877131
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AT zaheraa sleepapneainchildrenwithrefractorymonosymptomaticnocturnalenuresis
AT belalt sleepapneainchildrenwithrefractorymonosymptomaticnocturnalenuresis
AT salehab sleepapneainchildrenwithrefractorymonosymptomaticnocturnalenuresis
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