A case of a child with severe OSAHS presenting with nocturnal enuresis

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  • 夜尿症を呈した重症閉塞性睡眠時無呼吸症候群児の1症例

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Obstructive sleep apnea-hypopnea syndrome (OSAHS) in children is associated with complications such as snoring, mouth breathing, night terrors, and hyperactivity during sleep. Nocturnal enuresis and nocturia are less frequently recognized complications that also often occur. These conditions have atypical clinical presentations, and they often do not respond adequately to treatment. The patient was a 12-year-old boy who had grade III hypertrophy of the palatine tonsils. Although he had snored and experienced nocturnal apnea attacks since infancy, he was monitored without proper treatment, and had been having nocturnal enuresis on a daily basis. He was diagnosed with severe OSAHS based on an apnea-hypopnea index of 77.8 on polysomnography. Nocturnal enuresis rapidly resolved following the introduction of continuous positive airway pressure therapy, and subsequent bilateral tonsillectomy dramatically resolved both OSAHS and nocturnal enuresis.

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