Central Sleep Apnea in Children with Obstructive Sleep Apnea Syndrome and Improvement Following Adenotonsillectomy

Despite the belief that central sleep apneas (CSA’s) are solely related to central nervous system dysfunction, OSAS exerts some influence on the appearance of CSA in children. This retrospective chart review of polysomnography (PSG) data over a 10 year period aimed to demonstrate a positive association between CSA and OSAS in children 1 to 14 years of age without neurological conditions or craniofacial syndromes. A secondary aim was to demonstrate the impact of adenotonsillectomy on the severity of CSA in children with OSAS. There are conflicting mechanisms that try to explain the association between CSA and OSAS.