If a 4 yr old has obstructive sleep apnea could there be neurological issues?

Unlikely: Your child has been diagnosed at an early age. The overwhelming majority of children with sleep apnea have upper airway obstruction from tonsils , adenoids, or maxilla facial deformities. It is unlikely that the sleep apnea has caused any neurologic damage in your child. To be sure, however, ask this question of your child's pediatrician who was knows your child well and who was skilled enough to refer your child to a sleep disorder specialist in the first place. Your child's pediatrician is obviously very thorough. Best wishes to you and your child.

Sleep apnea: There are a few types of sleep apnea. The obstructive type and the neurological type. You should have the child tested to make sure it is not the neurological type. A sleep study done at a pediatric center will help determine what the problem is. Your pediatrician will help you find the right center to help you. Good luck and good health.

Yes: In most case treat these children for adhd, just have them remove the adenoid and tonsil in most cases resolve the issue as your child start breathing normally again.

Review sleep study : The sleep study report will indicate if there is a possible neurologic cause of apnea, often reported as central apnea. The report may be uploaded to a Healthtap virtual consultation for review and consultation. If the apnea is obstructive only, ENT is advised. Nasal steroid spray may be helpful or surgical removal of tonsils and adenoids as indicated.