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1: J AAPOS. 2008 Apr;12(2):197-9. Epub 2008 Mar 4.Click here to read Links

Obstructive sleep apnea syndrome with bilateral papilledema and vision loss in a 3-year-old child.

Quinn AG, Gouws P, Headland S, Oades P, Pople I, Taylor D, Benton JS, Buncic JR, Henderson J, Fleming P.

West of England Eye Unit, Royal Devon and Exeter Hospital, Exeter, United Kingdom. anthony.quinn@rdehc-tr.swest.nhs.uk

We describe bilateral papilledema and vision loss in a 3-year-old child with obstructive sleep apnea. Although lumbar puncture initially disclosed a normal opening pressure, cerebrospinal fluid (CSF) pressure monitoring during sleep confirmed intermittent episodes of elevated intracranial pressure corresponding to increased airway resistance. The association of obstructive sleep apnea and raised intracranial pressure is recognized in children with craniosynostosis but has not been reported in its absence.

PMID: 18289895 [PubMed - indexed for MEDLINE]