Ronco em Crianças

Autores

  • Lucila Bizari Fernandes do Prado Pediatra, Chefe do Serviço de Distúrbios de Sono em Crianças do Centro de Clinica e Ciências do Sono da Disciplina de Neurologia e Disciplina de Medicina de Urgências da EPM - Unifesp.
  • José Osmar Cardeal Professor-adjunto da Disciplina de Neurologia da EPM - Unifesp.
  • Marina Cardeal Acadêmica de Medicina da EPM - Unifesp.
  • Gilmar Fernandes do Prado Neurologista, Professor-adjunto e Diretor do Centro de Clinica e Ciências do Sono da Disciplina de Neurologia e Disciplina de Medicina de Urgências da EPM - Unifesp.

DOI:

https://doi.org/10.4181/RNC.2002.10.17

Palavras-chave:

Ronco, criança, distúrbio do comportamento

Resumo

0 ronco é produzido pela vibração do palato mole e dos pilares das amígdalas. Ele é considerado um sintoma cardinal dos distúrbios respiratórios obstrutivos do sono - um marcador de apnéia obstrutiva do sono. E mais freqüente no adulto obeso do sexo masculino. No entanto, as crianças também podem apresentar ronco e apnéias obstrutivas. Diferentemente dos adultos, que possuem ronco associado com sonolência excessiva diurna, na criança os sintomas diurnos estão relacionados com problemas de comportamento e distúrbios de escolaridade. Neste artigo, os autores apresentam uma revisão sobre os aspectos históricos, fisiopatologicos, epidemiológicos, etiológicos e clínicos do ronco em crianças.

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Referências

Burwell CS, Robin ED, Whaley RD, Bickelmann AG. Extreme obesity associated with alveolar hypoventilation - a Pickwickian Syndrome. Am J Med, 21:811-8, 1956.

Jung R. Kuhl W. Neurophysiological study of abnormal night sleep and the Pickwickian syndrome. Prog Brain Res, 18:140-60, 1965.

Gastaut H, Tassinari CA, Duron B. Etude polygraphique dês manifestations episodiques (hypniques et respiratoires), diurnes et nocturnes, du syndrome de Pickwick. Rev Neural, 112:568-79, 1965.

Lugaresi E, Plazzi G. Heavy snore disease: from snoring to the sleep apnea syndrome - an overview. Respiration, 64(suppl 1):11-4, 1997.

Ali NJ, Stradling JR. Epidemiology and natural history of snoring and sleep-disordered breathing in children. In: Loughlin GM, Carroll JL, Marcus CL (eds.). Sleep and breathing in children. New York, Marcel Dekker Inc., 1" ed., 2000, pp. 555-74.

Hill W. On some causes of backwardness and stupidity in children. BMJ, 2:711-2, 1889.

Osier W. Chronic tonsillitis. In: The principles and practice of medicine. New York, Appleton and Co., 1892, pp. 335-9. a Moore

The tonsils and adenoids and their diseases. London, Heinemann, 1928.

Fry J. Are all "T's and A's" really necessary? BMJ, 1:124-9. 1957.

Hendley JD. Tonsillectomy: justified but not mandated in special patients. N Engl J Med, 310:1229-30, 1984.

Check WA. Does drop in T and A's pose new issue of adenotonsillar hypertrophy? JAMA, 247:1229-30, 1982.

Guilleminault C, Eldridge FL, Simmons FB, Dement WC. Sleep apnea in eight children. Pediatrics, 58:23-31, 1976.

Gaultier C. Obstructive sleep apnoea syndrome in infants and children: established facts and unsettled issues. Thorax, 50:1204-10, 1995.

Guilleminault C, Winkle R, Korbkin R, Simmons B. Children and nocturnal snoring: evaluation of the effects of sleep related respiratory resistive load and daytime functioning. Eur J Pediatr, 139:165-71, 1982.

Rosen CL, D'Andrea L, Haddad GG. Adult criteria for obstructive sleep apnea do not identify children with serious obstruction. Am Rev Respir Dis, 146:1231-4, 1992.

American Thoracic Society - Medical section of the American Lung Association. Standards and indications for cardiopulmonary sleep studies in children. Am J Respir Crit Care Med, 153:866-78, 1996.

Guilleminault C, Stoohs R, Clerk A, Cetel M, Maistros A cause of excessive daytime sleepiness. The upper airway resistance syndrome. Chest, 104:781-7, 1993.

Loughlin GM. Obstructive sleep apnea syndrome in children: diagnosis and management. In: Loughlin GM, Carroll JL, Marcus CL (eds.). Sleep and breathing in children. New York, Marcel Dekker Inc., 1s' ed., 2000, pp. 625-650. Ronco em Crianças

Marcus CL, Omlin KJ, Basinki DJ, Bailey SL, Rachal AB, von Pechmann WS, Keens TG, Ward SL. Normal polysomnographic values for children and adolescents. Am Rev Respir Dis, 146:1235-9, 1992.

Prado LBF, Marcus CL. Upper airway collapsibility in normal infants. (In press).

Marcus CL, Lutz J, Hamer A, Smith PL, Schwartz A. Developmental changes in response to subatmospheric pressure loading of the upper airway. J Appl Physiol, 87:626-33, 1999.

Prado LBF, Li X, Thompson R, Marcus CL. Body position and obstructive sleep apnea in children. Sleep. (In press).

Corbo GM, Fuciarelli F, Foresi A, De-Benedetto F. Snoring in children: association with respiratory symptoms and passive smoking. BMJ, 299:1491-4, 1989.

Teculescu DB, Caillier I, Perrin P, Rebstock E, Rauch A. Snoring in French preschool children. Pediatr Pulmonol, 13:239-44, 1992.

Ali NJ, Pitson D, Stradling JR. Snoring, sleep disturbance, and behaviour in 4-5 years olds. Arch Dis Child, 68: 360-6, 1993.

Gislason T, Benediktsdóttir B. Snoring, apneic episodes, and nocturnal hypoxemia among children 6 months to 6 years old. Chest, 107:963-6, 1995.

Hulcrantz E, Lofstrand-Tidestrom B, Ahlquist-Rastad J. The epidemiology of sleep related breathing disorder in children. Int J Pediatr Otolaryngol, 32(suppl):663-S66, 1995.

Owen G, Canter R, Robinson A. Overnight oximetry in snoring and nonsnoring children. Clin Otolaryngol, 20: 402-406. 1995.

Ferreira AM, Clemente V, Gozai D, Gomes A, Pissarra C, César H, Coelho I, Silva CF, Azevedo MHPA. Snoring in Portuguese primary school children. Pediatrics, 106: E64, 2000.

Ali NJ, Pitson D, Stradling J. Natural history of snoring and related behaviour problems between the ages of 4 and 7 years. Arch Dis Child, 71:74-6, 1994.

Olsen KD, Kern EB. Nasal influences on snoring and obstructive sleep apnea. Mayo Clin Proc, 65:1095 105, 1990.

Miller AJ, Vargervik K, Chierici G. Sequential neuromuscular changes in rhesus monkeys during the initial adaptation to oral respiration. Am .1 Orthodont, 81:99-107, 1982.

Nelson S, Hans M. Contribution of craniofacial risk factors in increasing apneic activity among obese and nonobese habitual snorers. Chest, 111:154-62, 1997.

Kulnis R, Nelson S, Stroh! K, Hans M. Cephalometric assessment of snoring and nonsnoring children. Chest, 118:596-603, 2000.

Redline S, Tosteson T, Tishler PV, Carskadon MA, Milliman RP. Studies in the genetics of obstructive sleep apnea: familial aggregation of symptoms associated with sleep-related breathing disturbances. Am Rev Respir Dis, 145:440-4,1992.

Bloom JW, Kaltenborn WT, Quan SF. Risk factors in a general population for snoring: importance of cigarette smoking and obesity. Chest, 93:678-83, 1988.

McColley S, Carroll J, Curtis S, Loughlin G, Sampson H. High prevalence of allergic sensitization in children with habitual snoring and obstructive sleep apnea. Chest, 111:170-3, 1997.

Lugaresi E, Coccagna G, Fameti P. Mantovani M, Cirignotta Snoring. Elecencephalogr Clin Neurol, 39:59-64, 1975.

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Publicado

2002-04-30

Como Citar

Prado, L. B. F. do, Cardeal, J. O., Cardeal, M., & Prado, G. F. do. (2002). Ronco em Crianças. Revista Neurociências, 10(1), 17–23. https://doi.org/10.4181/RNC.2002.10.17

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Recebido: 2019-03-05
Publicado: 2002-04-30