Respiration during sleep in children with therapy‐resistant enuresis

Abstract

We provide baseline data of nocturnal respiration in enuretic children. The children were found to have subclinical signs of disordered respiration. This may be one of the explanations for their high arousal thresholds.

Orthodontic widening of the palate may provide a cure for selected children with therapy‐resistant enuresis

“…The results of the polysomnographic and otorhinolaryngologic baseline examinations of the studied children have been published separately . In short, we found that these children had more hypopneas and respiratory arousals than expected, as compared with published norms, an observation which led us to speculate that persistent arousal stimuli from partly obstructed airways may, via paradoxically increased arousal thresholds, be a pathogenetic factor underlying enuresis.…”

“…Baseline results for sleep variables and nasal airway patency data have been published separately . When relating response to RME therapy to polysomnographic data, no differences were found between the groups.…”

“…Nasal airway patency was non‐invasively assessed by means of rhinomanometry (RM) and acoustic rhinometry (AR) at the otorhinolaryngological clinic of Örebro University Hospital. The technicalities of these examinations have been described separately .…”

Primary nocturnal enuresis is associated with lower intelligence quotient scores in boys from poorer socioeconomic status families

“…Some investigators have studied the relationship between enuresis and sleep disorders . Meanwhile, for some children, nocturnal enuresis is related with obstructive sleep apnea and subclinical signs of disordered respiration have been detected in enuretic children with no history of snoring . In contrast, sleep disorder could also affect memory .…”

“…24 Meanwhile, for some children, nocturnal enuresis is related with obstructive sleep apnea, 25 and subclinical signs of disordered respiration have been detected in enuretic children with no history of snoring. 26 In contrast, sleep disorder could also affect memory. 27,28 Regarding the relationship between PNE and sleep disorders with lower IQ scores in these children, it might be speculated that the lower IQ scores of children with PNE could be a consequence of the inferior sleep quality in these children.…”