Published 1 October 2008, doi:10.1136/bmj.a1229
Cite this as: BMJ 2008;337:a1229

Endgames

Picture Quiz

Sleep disordered breathing in a 4 year old child with Down’s syndrome

D S Urquhart, specialist registrar, L Perry, paediatric respiratory technician, A Gupta, specialist registrar, M Rosenthal, consultant

1 Department of Paediatric Respiratory Medicine, Royal Brompton Hospital, London SW3 6NP

Correspondence to: D S Urquhart donurquhart72@doctors.org.uk

The first 150 words of the full text of this article appear below.

A 4 year old boy with Down’s syndrome has a long history of sleep disturbance. He snores at night, his sleep is very restless, and he sleeps for long periods during the day while at nursery. He was admitted for an overnight sleep study, a six hour epoch of which is displayed below (fig 1)Go. A treatment intervention improved sleep quality.


Figure Removed (Available Only in the Full Text)
View larger version (39K):



  		Fig 1 Overnight sleep study showing transcutaneous carbon dioxide (CO2), oxygen saturation (SaO2), and heart recordings

 
1. Describe the abnormalities shown.
2. What is the probable explanation for these abnormalities?
3. What is the intervention likely to be?

1. The abnormalities are detailed in fig 2Go.


Figure Removed (Available Only in the Full Text)
View larger version (45K):



  		Fig 2 Overnight sleep study showing abnormalities in transcutaneous carbon dioxide (CO2), oxygen saturation (SaO2), and heart recordings

 
2. Sleep disordered breathing (obstructive sleep apnoea).
3. The intervention, which improved sleep quality (fig 3)Go, would have . . . [Full text of this article]


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to StumbleUpon StumbleUpon   Add to Technorati Technorati    What's this?
Access jobs at BMJ Careers
Whats new online at Student BMJ