Correlates of respiratory cycle-related EEG changes in children with sleep-disordered breathing

To explore newly-identified respiratory cycle-related electroencephalographic changes (RCREC), which may represent microarousals, as correlates of neurobehavioral outcomes in children with sleep-disordered breathing (SDB). Retrospective. University sleep laboratory. Ten research subjects, aged 6 to...

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Veröffentlicht in:Sleep (New York, N.Y.) N.Y.), 2004-02, Vol.27 (1), p.116-121
Hauptverfasser: CHERVIN, Ronald D, BURNS, Joseph W, SUBOTIC, Nikolas S, ROUSSI, Christopher, THELEN, Brian, RUZICKA, Deborah L
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container_end_page 121
container_issue 1
container_start_page 116
container_title Sleep (New York, N.Y.)
container_volume 27
creator CHERVIN, Ronald D
BURNS, Joseph W
SUBOTIC, Nikolas S
ROUSSI, Christopher
THELEN, Brian
RUZICKA, Deborah L
description To explore newly-identified respiratory cycle-related electroencephalographic changes (RCREC), which may represent microarousals, as correlates of neurobehavioral outcomes in children with sleep-disordered breathing (SDB). Retrospective. University sleep laboratory. Ten research subjects, aged 6 to 10 years, with and without SDB. Polysomnography, Multiple Sleep Latency Tests, and tests of auditory attention before and after clinically-indicated tonsillectomy (n = 9) or hernia repair (n = 1, control). For the first 3 hours of nocturnal sleep, a computer algorithm quantified the degree to which delta, theta, and alpha electroencephalographic power varied within non-apneic respiratory cycles. Correlations between the RCREC and standard objective measures of SDB, sleepiness, and attention were explored. Five children had SDB (> 1 obstructive apnea per hour of sleep). Preoperative delta, theta, or alpha RCREC were statistically significant (P < .01) in all subjects except 1 without SDB and the 1 control. Theta RCREC correlated with rates of apneas and hypopneas (P = .01) and decreased after the apnea was treated. Postoperative changes in delta and theta RCREC predicted changes in Multiple Sleep Latency Test scores (rho = -0.84, P = .002; rho = -0.64, P = .05), whereas changes in rates of apneas and hypopneas did not (rho = -0.24, P = .50). Postoperative changes in attention tended to correlate with changes in delta RCREC (rho = -0.54, P = .11) more strongly than with changes in rates of apneic events (rho = -0.07, P = .84). The RCREC may reflect brief but numerous microarousals that could help to explain neurobehavioral consequences of SDB.
doi_str_mv 10.1093/sleep/27.1.116
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Retrospective. University sleep laboratory. Ten research subjects, aged 6 to 10 years, with and without SDB. Polysomnography, Multiple Sleep Latency Tests, and tests of auditory attention before and after clinically-indicated tonsillectomy (n = 9) or hernia repair (n = 1, control). For the first 3 hours of nocturnal sleep, a computer algorithm quantified the degree to which delta, theta, and alpha electroencephalographic power varied within non-apneic respiratory cycles. Correlations between the RCREC and standard objective measures of SDB, sleepiness, and attention were explored. Five children had SDB (&gt; 1 obstructive apnea per hour of sleep). Preoperative delta, theta, or alpha RCREC were statistically significant (P &lt; .01) in all subjects except 1 without SDB and the 1 control. Theta RCREC correlated with rates of apneas and hypopneas (P = .01) and decreased after the apnea was treated. Postoperative changes in delta and theta RCREC predicted changes in Multiple Sleep Latency Test scores (rho = -0.84, P = .002; rho = -0.64, P = .05), whereas changes in rates of apneas and hypopneas did not (rho = -0.24, P = .50). Postoperative changes in attention tended to correlate with changes in delta RCREC (rho = -0.54, P = .11) more strongly than with changes in rates of apneic events (rho = -0.07, P = .84). 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Stomatology</topic><topic>Periodicity</topic><topic>Postoperative Care</topic><topic>Preoperative Care</topic><topic>Respiration</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Sleep Apnea Syndromes - diagnosis</topic><topic>Sleep Apnea Syndromes - etiology</topic><topic>Sleep Apnea, Obstructive - complications</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CHERVIN, Ronald D</creatorcontrib><creatorcontrib>BURNS, Joseph W</creatorcontrib><creatorcontrib>SUBOTIC, Nikolas S</creatorcontrib><creatorcontrib>ROUSSI, Christopher</creatorcontrib><creatorcontrib>THELEN, Brian</creatorcontrib><creatorcontrib>RUZICKA, Deborah L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CHERVIN, Ronald D</au><au>BURNS, Joseph W</au><au>SUBOTIC, Nikolas S</au><au>ROUSSI, Christopher</au><au>THELEN, Brian</au><au>RUZICKA, Deborah L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlates of respiratory cycle-related EEG changes in children with sleep-disordered breathing</atitle><jtitle>Sleep (New York, N.Y.)</jtitle><addtitle>Sleep</addtitle><date>2004-02-01</date><risdate>2004</risdate><volume>27</volume><issue>1</issue><spage>116</spage><epage>121</epage><pages>116-121</pages><issn>0161-8105</issn><eissn>1550-9109</eissn><coden>SLEED6</coden><abstract>To explore newly-identified respiratory cycle-related electroencephalographic changes (RCREC), which may represent microarousals, as correlates of neurobehavioral outcomes in children with sleep-disordered breathing (SDB). Retrospective. University sleep laboratory. Ten research subjects, aged 6 to 10 years, with and without SDB. Polysomnography, Multiple Sleep Latency Tests, and tests of auditory attention before and after clinically-indicated tonsillectomy (n = 9) or hernia repair (n = 1, control). For the first 3 hours of nocturnal sleep, a computer algorithm quantified the degree to which delta, theta, and alpha electroencephalographic power varied within non-apneic respiratory cycles. Correlations between the RCREC and standard objective measures of SDB, sleepiness, and attention were explored. Five children had SDB (&gt; 1 obstructive apnea per hour of sleep). Preoperative delta, theta, or alpha RCREC were statistically significant (P &lt; .01) in all subjects except 1 without SDB and the 1 control. Theta RCREC correlated with rates of apneas and hypopneas (P = .01) and decreased after the apnea was treated. Postoperative changes in delta and theta RCREC predicted changes in Multiple Sleep Latency Test scores (rho = -0.84, P = .002; rho = -0.64, P = .05), whereas changes in rates of apneas and hypopneas did not (rho = -0.24, P = .50). Postoperative changes in attention tended to correlate with changes in delta RCREC (rho = -0.54, P = .11) more strongly than with changes in rates of apneic events (rho = -0.07, P = .84). The RCREC may reflect brief but numerous microarousals that could help to explain neurobehavioral consequences of SDB.</abstract><cop>Rochester, MN</cop><pub>American Academy of Sleep Medicine</pub><pmid>14998247</pmid><doi>10.1093/sleep/27.1.116</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Algorithms
Biological and medical sciences
Child
Child, Preschool
Electroencephalography
Female
Humans
Male
Medical sciences
Non tumoral diseases
Otorhinolaryngology. Stomatology
Periodicity
Postoperative Care
Preoperative Care
Respiration
Retrospective Studies
Severity of Illness Index
Sleep Apnea Syndromes - diagnosis
Sleep Apnea Syndromes - etiology
Sleep Apnea, Obstructive - complications
Sleep Apnea, Obstructive - diagnosis
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
title Correlates of respiratory cycle-related EEG changes in children with sleep-disordered breathing
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