Table 2

 Symptoms and signs seen more commonly in obstructive sleep apnoea

Night time
• Snoring and snorting
• Gasps or witnessed apnoeas
• Restlessness and unusual sleep postures (e.g. extended neck)
• Laboured breathing
• Early morning headache
• Excessive sweating
• Enuresis
Daytime
• Irritability, behavioural problems
• Poor concentration
• Failure to thrive
• Upper airway obstruction/mouth breathing
• Harrison’s sulci