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                  <text>Treatment of Symptoms in Children with Q3 Conditions Scoping Review Results</text>
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              <text>&lt;a href="http://doi.org/10.1177/0883073811429859" target="_blank" rel="noreferrer noopener"&gt;http://doi.org/​10.1177/0883073811429859&lt;/a&gt;</text>
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                <text>Respiratory disturbances in rett syndrome: Don't forget to evaluate upper airway obstruction</text>
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                <text>Journal of Child Neurology</text>
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                <text>2012</text>
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                <text>breathing difficulties; Rett syndrome; trajectory; characteristics; respiratory muscle strength</text>
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                <text>Hagebeuk  E E O; Bijlmer  R P G M; Koelman  J H T M; Poll-The  B T</text>
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                <text>Rett syndrome is characterized by loss of motor and social functions, development of stereotypic hand movements, seizures, and breathing disturbances. This study evaluates the presence of overnight respiratory disturbances. Polysomnography in combination with a questionnaire (the Sleep Disturbance Scale for Children) was performed in 12 Dutch patients with Rett. Respiratory disturbances were present in all, clinically relevant in 10 (apnea hypopnea per hour 1.0-14.5). In 8 children, central apneas were present during the day often with obstructive apneas at night. In 6, obstructive sleep apnea syndrome was diagnosed, in 3 severe, with frequent oxygen desaturations. Significant respiratory complaints were present in 3 patients, all had obstructive sleep apnea syndrome. Of the 12 patients with Rett, 8 (67%) snored, and in 5 obstructive sleep apnea syndrome was present. In children, hypertrophied tonsils and adenoids are a common cause of obstructive sleep apnea syndrome, which may benefit from therapeutic intervention. We recommend performing polysomnography in patients with Rett syndrome and respiratory complaints. © The Author(s) 2012.</text>
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                <text>&lt;a href="http://doi.org/10.1177/0883073811429859" target="_blank" rel="noreferrer noopener"&gt;10.1177/0883073811429859&lt;/a&gt;</text>
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                <text>Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).</text>
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        <name>breathing difficulties</name>
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        <name>characteristics</name>
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        <name>Hagebeuk  E E O</name>
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        <name>Journal of Child Neurology</name>
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        <name>Koelman  J H T M</name>
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        <name>Rett syndrome</name>
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