Obstructive Sleep Apnoea

  • R. W. Clarke
Chapter
Part of the Medical Radiology book series (MEDRAD)

Abstract

“Joe the fat boy” from The posthumous papers of the Pickwick Club (DICKENS 1837) is the most celebrated child with obstructive sleep apnoea in literature. DICKENS, a master of astute Observation, depicts Joe as “a fat and red-faced boy in State of somnolency” (Fig. 14.1). Joe was probably red-faced due to polycythaemia secondary to chronic hypoxia. The association between obesity and obstructive upper airway symptoms is now well known, but it is of more importance in adult medicine than in children. Although the relationship between adenotonsillar hypertrophy and a variety of manifestations of airway obstruction in children was recognised in the nineteenth Century (HILL 1889), it was not until the second half of the twentieth that GUILLEMINAULT published the first scientific reports which described in detail the Syndrome we now refer to as obstructive sleep apnoea (OSA) in children (GUILLEMINAULT et al. 1976,1981).

Keywords

Obstructive Sleep Apnea Continuous Positive Airway Pressure Obstructive Sleep Apnea Syndrome Obstructive Sleep Apnoea Obstructive Sleep Apnoea Syndrome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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Copyright information

© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • R. W. Clarke
    • 1
  1. 1.Royal Liverpool Children’s HospitalLiverpoolUK

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