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Respiratory problems in children with neurological impairment
  1. P C Seddon1,
  2. Y Khan2
  1. 1Royal Alexandra Children’s Hospital, Dyke Road, Brighton, UK
  2. 2Chailey Heritage Clinical Services, Beggars Wood Road, North Chailey, Lewes, UK
  1. Dr P C Seddon, Royal Alexandra Children’s Hospital, Dyke Road, Brighton BN1 3JN, UK; paul.seddon{at}


Children with severe neurological impairment have a high incidence of respiratory problems which are multifactorial and may be related to or dependent on the underlying disability. In addition, common respiratory conditions such as asthma will be represented in this group as in the general paediatric population. In order to maximise quality of life and reduce morbidity and mortality, each child should be carefully assessed and treated, making adjustments where necessary in the treatment regime to take account of the disability.

  • respiratory problem
  • neurological impairment
  • aspiration
  • BHR, bronchial hyper-reactivity
  • CP, cerebral palsy
  • DMD, Duchenne muscular dystrophy
  • GOR, gastro-oesophageal reflux
  • NMD, neuromuscular disease
  • OSA, obstructive sleep apnoea
  • SMA, spinal muscular atrophy

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