Obstructive sleep apnea, seizures, and childhood apraxia of speech
Obstructive sleep apnea, seizures, and childhood apraxia of speech
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DOI：
10.1016/j.pediatrneurol.2008.03.002
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发表时间：
2008-06-01
影响因子：
3.8
通讯作者：
Bergqvist, Christina
中科院分区：
文献类型：
--
作者：
Caspari, Susan S.;Strand, Edythe A.;Bergqvist, Christina
阻塞性睡眠呼吸暂停和成人运动语言障碍之间的联系已经被提出，尽管很少有关于睡眠呼吸暂停对运动语言障碍儿童语言习得的可能影响的文章。本报告详细介绍了一名患有癫痫和严重语言失用症的非语言儿童的医疗和语言史。在长达6年的时间里，尽管进行了强化的语言治疗，但他的语言功能并没有得到改善。6岁因阻塞性睡眠呼吸暂停而切除扁桃体后，他癫痫发作减少，语言能力迅速提高。研究结果支持阻塞性睡眠呼吸暂停和儿童语言失用症之间的关系。阻塞性睡眠呼吸暂停的诊断和治疗相当晚，特别是考虑到这种改变生活的结果（获得功能性语言），具有重要意义。大多数语音发育在2-5岁，这也是腺扁桃体肥大和儿童阻塞性睡眠呼吸暂停的发病高峰期。因此，对于患有运动语言障碍的儿童，建立明确的诊断，并考虑对阻塞性睡眠呼吸暂停进行早期和更积极的治疗是很重要的。(c)爱思唯尔公司2008年版权所有。
Associations between obstructive sleep apnea and motor speech disorders in adults have been suggested, though little has been written about possible effects of sleep apnea on speech acquisition in children with motor speech disorders. This report details the medical and speech history of a nonverbal child with seizures and severe apraxia of speech. For 6 years, he made no functional gains in speech production, despite intensive speech therapy. After tonsillectomy for obstructive sleep apnea at age 6 years, he experienced a reduction in seizures and rapid growth in speech production. The findings support a relationship between obstructive sleep apnea and childhood apraxia of speech. The rather late diagnosis and treatment of obstructive sleep apnea, especially in light of what was such a life-altering outcome (gaining functional speech), has significant implications. Most speech sounds develop during ages 2-5 years, which is also the peak time of occurrence of adenotonsillar hypertrophy and childhood obstructive sleep apnea. Hence it is important to establish definitive diagnoses, and to consider early and more aggressive treatments for obstructive sleep apnea, in children with motor speech disorders. (c) 2008 by Elsevier Inc. All rights reserved.