Sleep disordered breathing (SDB) is prevalent among children with neuromuscular disorders (NMD). The combination of respiratory muscle weakness, altered drive, and chest wall distortion due to scoliosis make sleep a stressful state in this population. Symptomatology can range from absent to snoring, nocturnal awakenings, morning headaches, and excessive daytime sleepiness. Sequelae of untreated SDB includes cardiovascular effects, metabolic derangements, and neurocognitive concerns which can be compounded by those innate to the NMD. The clinician should have a low threshold for obtaining polysomnography and recognize the nuances of individual disorders due to disproportionately impacted muscle groups such as hypoventilation in ambulating patients from diaphragm weakness. Non-invasive or invasive ventilation are the mainstay of treatment. In this review we explore the diagnosis and treatment of SDB in children with various NMD.

睡眠呼吸障碍(SDB) 在患有神经肌肉疾病(NMD)的儿童中很常见。呼吸肌无力、驱动力改变以及脊柱侧凸导致的胸壁扭曲，使该人群的睡眠成为一种压力状态。症状包括缺席、打鼾、夜间醒来、早晨头痛和白天过度嗜睡等。未经治疗的 SDB 的后遗症包括心血管影响、代谢紊乱和神经认知问题，这些问题可能会因 NMD 固有的问题而加剧。临床医生获得多导睡眠图的门槛应该较低，并认识到由于肌肉群受到不成比例的影响而导致的个体疾病的细微差别，例如步行患者因膈肌无力而导致的通气不足。无创或有创通气是主要的治疗方法。在这篇综述中，我们探讨了患有各种 NMD 的儿童 SDB 的诊断和治疗。