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Apnoea is usually multifactorial. In addition to central causes, such as cervicomedullary compression, mechanical causes include small thorax, narrow upper airways due to underdevelopment of the mid face and adenotonsillar hypertrophy. Risk of sudden death in achondroplastic children below 5 years was estimated in one study to be 50-fold higher than in the normal …
Contributors MOEB and CE wrote the provisional manuscript. PD revised the polysomnography data and edited the final draft and ROK reviewed the MRI images. All authors have contributed to the clinical management of this case.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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