Utility of MRI in Workup of Pediatric Central Sleep Apnea
Autor: | Cristina M. Baldassari, Meghan Woughter |
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Rok vydání: | 2012 |
Předmět: |
Pediatrics
medicine.medical_specialty Central sleep apnea medicine.diagnostic_test business.industry Incidence (epidemiology) Polysomnogram Significant difference Magnetic resonance imaging medicine.disease Central apnea index Otorhinolaryngology Arachnoid cyst Chart review medicine Surgery business |
Zdroj: | Otolaryngology–Head and Neck Surgery. 147 |
ISSN: | 1097-6817 0194-5998 |
DOI: | 10.1177/0194599812451426a362 |
Popis: | Objective: 1) To determine the incidence of central nervous system pathology on magnetic resonance imaging (MRI) scans in children with central sleep apnea (CSA). 2) To assess whether certain factors such as abnormalities on neurologic examination impact the yield of MRI in evaluation of CSA.Method: A retrospective chart review was conducted at a tertiary pediatric hospital over 10 years. Inclusion criteria were patients 6 months to 18 years of age who underwent both full-night polysomnogram (PSG) and head MRI. Children with central apnea index (CAI) greater than 1 were considered to have CSA.Results: Thirty-six children were included. Sixteen patients were boy (44.4%), and the mean age was 43.2 ± 52.2 months. Twenty children (55.6%) had CAI greater than 1. Fourteen children (38.9%) had evidence of pathology on MRI, with the most common finding (n = 5) being arachnoid cyst. When patients with CSA were compared to those without CSA, there was no significant difference (P = .23) in rates of abnormal head MR... |
Databáze: | OpenAIRE |
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