Sleep-Disordered Breathing among Newborns with Myelomeningocele

doi:10.1016/j.jpeds.2017.10.070

. 2018 Mar:194:244-247.e1.

doi: 10.1016/j.jpeds.2017.10.070. Epub 2017 Dec 6.

Sleep-Disordered Breathing among Newborns with Myelomeningocele

Renée A Shellhaas¹, Payal V Kenia², Fauziya Hassan³, John D E Barks², Niko Kaciroti², Ronald D Chervin⁴

Affiliations

¹ Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, MI; Sleep Disorders Center, University of Michigan, Ann Arbor, MI. Electronic address: shellhaa@med.umich.edu.
² Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, MI.
³ Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, MI; Sleep Disorders Center, University of Michigan, Ann Arbor, MI.
⁴ Sleep Disorders Center, University of Michigan, Ann Arbor, MI; Department of Neurology, University of Michigan, Ann Arbor, MI.

PMID: 29221695
PMCID: PMC5826838
DOI: 10.1016/j.jpeds.2017.10.070

Sleep-Disordered Breathing among Newborns with Myelomeningocele

Renée A Shellhaas et al. J Pediatr. 2018 Mar.

. 2018 Mar:194:244-247.e1.

doi: 10.1016/j.jpeds.2017.10.070. Epub 2017 Dec 6.

Authors

Renée A Shellhaas¹, Payal V Kenia², Fauziya Hassan³, John D E Barks², Niko Kaciroti², Ronald D Chervin⁴

Affiliations

¹ Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, MI; Sleep Disorders Center, University of Michigan, Ann Arbor, MI. Electronic address: shellhaa@med.umich.edu.
² Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, MI.
³ Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, MI; Sleep Disorders Center, University of Michigan, Ann Arbor, MI.
⁴ Sleep Disorders Center, University of Michigan, Ann Arbor, MI; Department of Neurology, University of Michigan, Ann Arbor, MI.

PMID: 29221695
PMCID: PMC5826838
DOI: 10.1016/j.jpeds.2017.10.070

Abstract

In a matched cohort study, we report that the apnea-hypopnea index is significantly higher in neonates with myelomeningocele (34 ± 22) compared with age-matched controls (19 ± 11; P = .021). Assessment of newborns with myelomeningocele for sleep-disordered breathing may facilitate early treatment; the impact on long-term neurodevelopment is unknown.

Keywords: central sleep apnea; neonatal; obstructive sleep apnea; polysomnography; spina bifida.

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Conflict of interest statement

The other authors declare no conflicts of interest.

Figures

**Figure**
Apnea Hypopnea Index (AHI) distribution for 19 neonates with myelomeningocele compared with 19 age-matched neonates who required intensive care but did not have congenital malformations.

See this image and copyright information in PMC

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References

1. Boulet SL, Yang Q, Mai C, Kirby RS, Collins JS, Robbins JM, et al. Trends in the postfortification prevalence of spina bifida and anencephaly in the United States. Birth Defects Research A Clin Mol Teratol. 2008;82:527–32. - PubMed
1. Adzick NS, Thom EA, Spong CT, Brock JW, III, Burrows PK, Johnson MP, et al. A Randomized trial of prenatal versus postnatal repair of myelomeningocele. New England Journal of Medicine. 2011;364:993–1004. - PMC - PubMed
1. Waters KA, Forbes P, Morielli A, Hum C, O’Gorman AM, Vernet O, et al. Sleep-disordered breathing in children with myelomeningocele. Journal of Pediatrics. 1998;132:672–81. - PubMed
1. Alsaadi MM, Iqbal SM, Elgamal EA, Gozal D. Sleep-disordered breathing in children with Chiari malformation type II and myelmeningocele. Pediatrics International. 2012;54:623–6. - PubMed
1. Patel DM, Rocque BG, Hopson B, Arynchyna A, Bishop ER, Lozano D, et al. Sleep- disordered breathing in patients with myelomeningocele. Journal of neurosurgery Pediatrics. 2015;16:30–5. - PubMed

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[1] Boulet SL, Yang Q, Mai C, Kirby RS, Collins JS, Robbins JM, et al. Trends in the postfortification prevalence of spina bifida and anencephaly in the United States. Birth Defects Research A Clin Mol Teratol. 2008;82:527–32. - PubMed

[2] Boulet SL, Yang Q, Mai C, Kirby RS, Collins JS, Robbins JM, et al. Trends in the postfortification prevalence of spina bifida and anencephaly in the United States. Birth Defects Research A Clin Mol Teratol. 2008;82:527–32. - PubMed

[3] Adzick NS, Thom EA, Spong CT, Brock JW, III, Burrows PK, Johnson MP, et al. A Randomized trial of prenatal versus postnatal repair of myelomeningocele. New England Journal of Medicine. 2011;364:993–1004. - PMC - PubMed

[4] Adzick NS, Thom EA, Spong CT, Brock JW, III, Burrows PK, Johnson MP, et al. A Randomized trial of prenatal versus postnatal repair of myelomeningocele. New England Journal of Medicine. 2011;364:993–1004. - PMC - PubMed

[5] Waters KA, Forbes P, Morielli A, Hum C, O’Gorman AM, Vernet O, et al. Sleep-disordered breathing in children with myelomeningocele. Journal of Pediatrics. 1998;132:672–81. - PubMed

[6] Waters KA, Forbes P, Morielli A, Hum C, O’Gorman AM, Vernet O, et al. Sleep-disordered breathing in children with myelomeningocele. Journal of Pediatrics. 1998;132:672–81. - PubMed

[7] Alsaadi MM, Iqbal SM, Elgamal EA, Gozal D. Sleep-disordered breathing in children with Chiari malformation type II and myelmeningocele. Pediatrics International. 2012;54:623–6. - PubMed

[8] Alsaadi MM, Iqbal SM, Elgamal EA, Gozal D. Sleep-disordered breathing in children with Chiari malformation type II and myelmeningocele. Pediatrics International. 2012;54:623–6. - PubMed

[9] Patel DM, Rocque BG, Hopson B, Arynchyna A, Bishop ER, Lozano D, et al. Sleep- disordered breathing in patients with myelomeningocele. Journal of neurosurgery Pediatrics. 2015;16:30–5. - PubMed

[10] Patel DM, Rocque BG, Hopson B, Arynchyna A, Bishop ER, Lozano D, et al. Sleep- disordered breathing in patients with myelomeningocele. Journal of neurosurgery Pediatrics. 2015;16:30–5. - PubMed

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Sleep-Disordered Breathing among Newborns with Myelomeningocele

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Sleep-Disordered Breathing among Newborns with Myelomeningocele

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