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논문 기본 정보

자료유형
학술저널
저자정보
William Palmer (Department of Sleep Disorders Henry Ford Hospital Detroit MI USA) Miriam Jaziri (Department of Sleep Disorders Henry Ford Hospital Detroit MI USA) Maria Tovar (Department of Sleep Disorders Henry Ford Hospital Detroit MI USA)
저널정보
대한수면연구학회 Journal of sleep medicine Journal of sleep medicine Vol.18 No.3
발행연도
2021.12
수록면
182 - 185 (4page)
DOI
10.13078/jsm.210019

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초록· 키워드

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Treatment-emergent central sleep apnea (TE-CSA) is commonly encountered during the treatment for obstructive sleep apnea (OSA) with positive airway pressure (PAP) and usually remains self-limited. Persistent TE-CSA is sporadically seen with PAP therapy and has only rarely been described with hypoglossal nerve stimulation (HGNS). We report the case of a 60-year-old female patient with moderate OSA that progressed to TE-CSA with PAP therapy. A prolonged trial with PAP therapy was limited because the patient experienced recurrent aerophagia and subsequently underwent HGNS implantation. HGNS titration led to improved control of the patient’s OSA, but TE-CSA recurred and demonstrated a strong positional component. Lateral positional therapy was implemented with adequate control of respiratory events. TE-CSA can persist throughout different treatment modalities, including HGNS. The patient’s successful lateral sleep therapy for persistent and positionally exacerbated TE-CSA demonstrates the benefit of a well-known sleep apnea treatment for this poorly understood condition.

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