loading page

Chiari Type 1 malformation presents with extensive periodic breathing pattern in a 3-year-old child
  • Christine Campbell ,
  • Mariam Ischander
Christine Campbell
Western Michigan University
Author Profile
Mariam Ischander
Western Michigan University
Author Profile

Peer review status:IN REVISION

23 Jun 2020Submitted to Pediatric Pulmonology
23 Jun 2020Assigned to Editor
23 Jun 2020Submission Checks Completed
26 Jun 2020Reviewer(s) Assigned
17 Jul 2020Review(s) Completed, Editorial Evaluation Pending
19 Jul 2020Editorial Decision: Revise Major

Abstract

Periodic breathing is indicative of immaturity of respiratory control and is well recognized within the normal limits in both full term and premature infants but unusual beyond infancy and at high altitude. We would like to focus on the importance of recognizing and scoring the pattern of periodic breathing in older children both clinically and in the sleep laboratory as an abnormal breathing pattern that should draw the attention of the treating physician into the possibility of hindbrain malformation or other significant pathology. Despite that sleep disordered breathing including central and obstructive apneas with or without hypoventilation are well reported as a manifestation of Chiari type I malformation, scoring periodic breathing pattern beyond infancy has not been an area of focus.