Pickwick症候群を呈したAsperger症候群の13歳女児例  [in Japanese] A 13-Year-Old-Girl with Pickwickian Syndrome and Asperger Syndrome  [in Japanese]

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Abstract

Pickwick症候群を呈したAsperger症候群の13歳女児について報告した.入院時主訴は睡眠時無呼吸発作で, 夜間1~3時頃になると腹臥位で頸部を周期性に挙上する呼吸パターンがみられた.入院時肥満度は64%であった.終夜睡眠ポリグラフでは軽睡眠時とREM睡眠時に, 下顎の緊張が低下し, 脈拍の上昇・SpO<SUB>2</SUB>の低下が出現し, また睡眠構造では深睡眠・REM睡眠の割合が減少していた.これらの所見は成人のPickwick症候群で報告されている所見と同様であった.またAsperger症候群であるため, 入院中の体重減少も容易ではなかったが, 退院後は体重コントロールに難渋している.

We reported a 13-year-old girl with Pickwickian syndrome and Asperger syndrome. The chief complaint on admission was apnea attacks during sleep. She had severe obesity. Whole night polysomnography showed that the apnea attacks occured during light and REM sleep, and that slow wave sleep and REM sleep volumes were decreased. These findings were the same as those on adult cases. Weight control was very difficult because of Asperger syndrome.

Journal

  • NO TO HATATSU

    NO TO HATATSU 34(3), 263-267, 2002-05-01

    THE JAPANESE SOCIETY OF CHILD NEUROLOGY

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