Magazine article Clinical Psychiatry News

Treating Obstructive Sleep Apnea Surgically May Improve ADHD

Magazine article Clinical Psychiatry News

Treating Obstructive Sleep Apnea Surgically May Improve ADHD

Article excerpt

Surgical treatment of mild obstructive sleep apnea in school-aged children diagnosed with attention-deficit/hyperactivity disorder and mild obstructive sleep apnea resulted in big improvements in ADHD symptoms, compared with those treated with methylphenidate alone, investigators reported.

"Recognition and surgical treatment of underlying mild sleep-disordered breathing in children with ADHD may prevent unnecessary long-term methylphenidate usage and the potential side effects associated with drug intake," Dr. Yu-Shu Huang, of Chang Gung Memorial University Hospital, Taipei, Taiwan, and colleagues wrote (Sleep Med. 2007;8:18-30).

Dr. Huang and colleagues examined the effect of three treatment options on 66 children with ADHD and mild obstructive sleep apnea confirmed by polysomnography treatment with methylphenidate, under supervision of the child's psychiatrist; systematic adenotonsillectomy, in children with adenotonsil hypertrophy confirmed by a pediatric otolaryngologist; or a wait-and-see approach, with regular follow-up but no treatment.

The study population was recruited from among school children, aged 6-12 years, who were referred to a child psychiatry clinic for behavioral problems suggestive of ADHD. …

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