OSAS: Obstructive Sleep Apnea Syndrome Quando si inizia dalle complicanze

4 clinical cases regarding children with a diagnosis of OSAS (Obstructive Sleep Apnea Syndrome) and rather unexpected symptoms are described. A 18 month old child with lack of appetite, weight loss and sporadic vomit in the morning. After a gastroenterology investigation the mother refers that it's a year that the child snores and has sleep apnea. An oximetry monitoring during sleep reveals an OSAS. The second case is a two year old child with tonsils' hypertrophy, snoring and troubled sleep with apnea. His oximetry monitored at home during sleep reveals an OSAS and for this reason a tonsillectomy is performed. However, for the persistence of the same symptoms and the presence of OSAS through an oximetry monitoring, an adenoidectomy is afterwards performed. After surgery slight symptoms are still present and an oximetry monitoring still reveals OSAS. The third case is a fourteen year old child with Down's syndrome who has undergone adenoidectomy and tonsillectomy at eight years of age. For the presence of apnea and cyanosis he is monitored during sleep with an oximetry which reveals the presence of OSAS. Nocturnal polysomnography confirms a severe case of OSAS. The problem is solved with a continuous positive airway pressure at home during sleep.