Distúrbio de hiperatividade e déficit de atenção na síndrome de apnéia obstrutuiva do sono: Há melhora com tratamento cirúrgico?

• Autor(a) principal: Weber, Silke Anna Theresa [UNESP]
• Data de Publicação: 2006
• Outros Autores: Neto, Arlindo Cardoso Lima, Ternes, Fernando José de Souza, Montovani, Jair Cortez [UNESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.1590/S0034-72992006000100020; http://hdl.handle.net/11449/69044
• topic: Adenotonsillectomy; Hyperactivity; Impulsivity; adenotonsillectomy; adolescent; attention deficit disorder; Brazil; child; clinical article; controlled study; disease association; female; follow up; human; hyperactivity; impulsiveness; incidence; interview; male; questionnaire; sleep apnea syndrome; Adenoidectomy; Adolescent; Attention Deficit Disorder with Hyperactivity; Child; Child, Preschool; Female; Humans; Impulsive Behavior; Incidence; Male; Questionnaires; Sleep Apnea, Obstructive; Tonsillectomy

Neuropsychological disorders are frequently associated with obstructive ventilatory disorders (OVD). Aim: To analyze the incidence of neuropsychological disorders in Brazilian children with OVD, using a screening questionnaire and to compare the answers given before and after surgery. Patients and Methods: We studied 30 children with clinical diagnosis of OVD. The children were divided into 3 groups: group I, children aged 4 to 7; group II, from 8 to 10; and group III, children over 11. The applied questionnaires were answered by the parents or tutors, and comprised 30 questions, 10 for each disorder: attention deficit, hyperactivity and impulsivity. The children were diagnosed with one of the disorders when presented 3 or more positive answers. The follow up interview occurred 6 months after adenotonsillectomy. Results: There was a predominance of male gender (60.6%) over female gender (39.4%). Group II presented the highest number of significant changes, with reductions raging from 87.5% to 33.3% of patients with attention deficit, 75% to 50% of the hyperactive patients, and 50% to 33% of the impulsive patients. Conclusion: There was neuropsychological improvement after the surgery, which occurred mainly in the children from group II. More interaction among health professionals is necessary when diagnosing and following up similar cases.