Evidence map›Paper›PMID 42154139›Full record

Observational studySleep & breathing = Schlaf & Atmung2026

Polysomnographic findings and brain maturation in infants with Prader-Willi syndrome: a retrospective observational study.

Trees Kempen, Mieke Boon, Anneleen Dereymaeker, Anne Rochtus, Renee Proost, Katrien Lemmens, Katrien Jansen

Abstract readObservational Study
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In one paragraph

Observational study in Sleep & breathing = Schlaf & Atmung, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Trees KempenDepartment of Development and Regeneration, University Hospitals Leuven, KU Leuven, Herestraat 49, Leuven, 3000, Belgium. trees.kempen@uzleuven.be.ORCID http://orcid.org/0009-0000-2361-0141
Mieke BoonDepartment of Development and Regeneration, Child Pulmonology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0001-8138-5405
Anneleen DereymaekerDepartment of Development and Regeneration, Neonatal Intensive Care Unit, University Hospitals Leuven, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0003-3923-1298
Anne RochtusDepartment of Development and Regeneration, Child Endocrinology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-3266-9126
Renee ProostDepartment of Development and Regeneration, Child Neurology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-4645-6877
Katrien LemmensDepartment of Development and Regeneration, Neonatal Intensive Care Unit, University Hospitals Leuven, KU Leuven, Leuven, Belgium.
Katrien JansenDepartment of Development and Regeneration, Child Neurology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-5503-529X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrader-Willi syndrome (PWS) is a rare genetic disorder characterized by hypothalamic dysfunction and brainstem immaturity, contributing to central sleep apnea (CSA), hypoventilation and hypersomnolence. Obstructive sleep apnea (OSA) is more common in older children with PWS due to adenotonsillar hypertrophy and obesity. Data on polysomnographic findings in infants remain scarce. This study aimed to assess sleep-disordered breathing and its possible association with brain maturation, based on electroencephalography (EEG) findings, in infants (< 12 months) with PWS.

methodsWe conducted a retrospective analysis of polysomnography (PSG) and EEG data, from seven growth hormone-naive infants with PWS. Statistical comparisons were made between neonatal and older infants, and between those with age-appropriate versus dysmature EEGs.

resultsOne infant died suddenly and unexpectedly before PSG could be completed. The median central apnea index was 1.42/h; none of the infants met criteria for CSA. OSA was present in 66.6% of PSGs, with a median obstructive apnea-hypopnea index of 3.94/h. All infants had low arousal indices. Delayed brain maturation was observed in three infants on EEG, with no correlation found between EEG maturity and apnea indices.

conclusionOSA also presents in infants with PWS and is mainly caused by hypotonia and a narrow oropharynx. No correlation was found between EEG-based brain immaturity and central apnea severity. Given the respiratory vulnerability of these infants, a baseline PSG is strongly recommended. Larger studies are needed to confirm these findings and to clarify their clinical implications, including the potential role of EEG in early risk stratification.

Indexed as

BrainPolysomnographyPrader-Willi SyndromeSleep Apnea, CentralSleep Apnea, ObstructiveElectroencephalographyFemaleHumansInfantInfant, NewbornMaleRetrospective StudiesBrain maturationInfantsObstructive sleep apneaPrader-Willi syndromeSleep-disordered breathing

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.