Obstructive Sleep Apnea in Children
In the m odem medical literature, Guilleminault (3) reported the first series of children with OSA in 1976. That report describes the essential clinical features of this condition. Eight children, 5 to 14 years of age, were diagnosed using nocturnal polysomnograms. Guilleminault wrote that excessive daytime sleepiness, decrease in school performance, abnormal daytime behavior, enuresis, morning headache, abnormal weight, and progressive development of hypertension should suggest the possibility of a sleep apnea syndrome when any of these symptoms is associated with loud snoring interrupted by pauses during sleep. Surgery was advocated to eliminate the symptoms.