Accessible summary• This article is about Emma's experience of living with learning difficulties.• Emma expresses a lot of anger, and talks about feelings of loss.• This article is interesting to people with learning disabilities because they can see if their experience is like Emma's in any way.
SummaryThis paper presents Emma's story: her experience of living with learning difficulties. The emerging themes of loss, blame and anger are discussed.
Sleep related breathing disorders (SRBDs) are a common problem in infancy and childhood. The most common type of SRBD in this age group is obstructive sleep apnea syndrome (OSAS), generally caused by factors affecting airway patency, such as tonsillar hypertrophy or obesity. However, in adults OSAS can also be caused by processes affecting the brainstem, such as central nervous system tumors. This report describes a 2-year-old girl who presented with symptoms of snoring, restless sleep, repeated night-time waking, and apneic events whilst asleep. She had no co-morbidities, and examination revealed normal sized tonsils. A sleep study demonstrated severe OSAS with an obstructive apnea/hypopnea index of 34. Her OSAS completely resolved on excision of the tumor.The case highlights the importance of neurological examination as part of evaluation of OSAS, especially in cases where tonsils are not enlarged and there are no other risk factors for OSAS.
Pediatric Sleep Questionnaire Sleep-Related Breathing Disorder questionnaire subscale (PSQ-SRBD) in the prediction of obstructive sleep apnoea (OSA) in children with epilepsy (CWE).
Introduction Epilepsy and OSA are common conditions, affecting 0.5% 1 and 6% 2 of children respectively. Pilot data utilising the PSQ-SRBD reported a high risk of OSA in 55% of CWE Abstract P047 Table 1 Summary of anthropometric, questionnaire and polysomnographic data for children with epileptic control children. Groups compared using Student's t-test for continuous variables and chi-square test for discrete variables. Results presented as number(%), mean± SD or median (IQR25-75%) as appropriate.
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