Email this article The comorbidity of fetal alcohol syndrome and sleep apnea/hypopnea syndrome in a 7‑year-old girl (a clinical case)
- Authors: Yakovleva K.D.1, Alekseeva O.V.1, Shnayder N.A.1, Sidorenko D.R.1, Dmitrenko D.V.1
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Affiliations:
- Prof. V.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University of the Ministry of Health of Russia
- Issue: Vol 14, No 4 (2019)
- Pages: 38-42
- Section: CLINICAL OBSERVATIONS
- Published: 16.05.2020
- URL: https://rjdn.abvpress.ru/jour/article/view/317
- DOI: https://doi.org/10.17650/2073-8803-2019-14-4-38-42
- ID: 317
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Full Text
Abstract
Fetal alcohol syndrome is the result of prenatal effect of alcohol on the fetus and manifests as disorders of neural and mental development and various congenital developmental disorders leading to comorbid diseases. Among congenital developmental disorders for the pathology, adenotonsillar pathology was described. Narrowing of the nasopharyngeal opening, faciomaxillary dysmorphias and muscle hypotony can lead to sleep apnea syndrome. The article presents a clinical case of fetal alcohol syndrome and sleep apnea in a 7‑year-old girl with multiple developmental disorders born form alcohol-abusing mother. Breathing abnormalities during sleep must be differentiated per character and cause. Cardiorespiratory monitoring is used to diagnose respiratory abnormalities, the results determine patient management tactics. Interdisciplinary approach to observation and treatment of a child with fetal alcohol syndrome is necessary to increase the effectiveness of rehabilitation measures and patient’s quality of life.
About the authors
K. D. Yakovleva
Prof. V.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University of the Ministry of Health of Russia
Author for correspondence.
Email: Kris_995@mail.ru
1 Partizana Zheleznyaka St., Krasnoyarsk 660022, Russia
Russian FederationO. V. Alekseeva
Prof. V.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University of the Ministry of Health of Russia
Email: fake@neicon.ru
1 Partizana Zheleznyaka St., Krasnoyarsk 660022, Russia Russian Federation
N. A. Shnayder
Prof. V.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University of the Ministry of Health of Russia
Email: fake@neicon.ru
1 Partizana Zheleznyaka St., Krasnoyarsk 660022, Russia Russian Federation
D. R. Sidorenko
Prof. V.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University of the Ministry of Health of Russia
Email: fake@neicon.ru
1 Partizana Zheleznyaka St., Krasnoyarsk 660022, Russia Russian Federation
D. V. Dmitrenko
Prof. V.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University of the Ministry of Health of Russia
Email: fake@neicon.ru
1 Partizana Zheleznyaka St., Krasnoyarsk 660022, Russia Russian Federation
References
- Bakhshieva S., Zorina E., Mudrova L. et al. Criteria of fetal alcohol syndrome and prevention of developmental disorders in children. Vrach = Doctor 2015;(1):58–9. (In Russ.)
- Sidorenko D.R., Terskova N.V., Shnayder N.A. Choice of tactics of reference of the child with chronic adenoiditis complicated by obstructive sleep apnea/hypopnea: clinical case. Vestnik klinicheskoy bolnitsi = Clinical Hospital Bulletin 2016;7(2):48–51. (In Russ.)
- Terskova N.V. Chronic adenoiditis. Sibirskoe meditsinskoe obozrenie = Siberian Medical Review 2015;(94):85–92. (In Russ.)
- Aubertin G., Beydon N. Obstructive sleep apnea syndrome in children. Rev Pneumol Clin 2013;69(4):229–36. doi: 10.1016/j.pneumo.2013.05.004.
- Bozzini M.F., Di Francesco R.C. Managing obstructive sleep apnoea in children: the role of craniofacial morphology. Clinics (Sao Paulo) 2016;71(11):664–6. doi: 10.6061/clinics/2016(11)08.
- Denny L., Coles S., Blitz R. Fetal alcohol syndrome and fetal alcohol spectrum disorders. Am Fam Physician 2017;96(8):515–22.
- Dörrie N., Föcker M., Freunscht I. et al. Fetal alcohol spectrum disorders. Eur Child Adolesc Psychiatry 2014;23(10):863–75. doi: 10.1007/s00787-014-0571-6.
- Esteller Е. Obstructive sleep apneahypopnea syndrome in children: Beyond adenotonsillar hypertrophy. Acta Otorrinolaringol Esp 2015;66(2):111–9. doi: 10.1016/j.otorri.2014.05.001.
- Feldman H.S., Jones K.L., Lindsay S. et al. Prenatal alcohol exposure patterns and alcohol-related birth defects and growth deficiencies: a prospective study. Alcohol Clin Exp Res 2012;36(4):670–6. doi: 10.1111/j.1530-0277.2011.01664.x.
- Felix O., Amaddeo A., Olmo Arroyo J. et al. Central sleep apnea in children: experience at a single center. Sleep Med 2016;25:24–8. doi: 10.1016/j.sleep.2016.07.016.
- Joosten K.F., Larramona H., Miano S. et al. How do we recognize the child with OSAS? Pediatr Pulmonol 2017;52(2):260–71. doi: 10.1002/ppul.23639.
- Landgraf M., Nothacker M., Heinen F. Diagnosis of fetal alcohol syndrome (FAS): German guideline version 2013. Eur J Paediatr Neurol 2013;17(5):437–46. doi: 10.1016/j.ejpn.2013.03.008.
- Qiu Z.H., Wu Y.X., Yan H.C. et al. Prevalence of central sleep apnea in different age groups of children with sleep apnea-hypopnea. Zhonghua Yi Xue Za Zhi 2013;93(6):419–21.
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