A 38-year-old man presented to the pulmonology department with a 6-month history of snoring, witnessed breathing pauses during sleep and daytime sleepiness. He also noted changed sensation in his left h an d . He h ad a history of hypertension, but no drug or alcohol use. On examination, his body mass index was 32.6, he had prickling dysesthesia and a sensation of muscular tension on the left arm and trunk, and symmetric hyperreflexia of the legs. Polysomnography showed an ApneaHypopnea Index (AHI) score of 88 and a central AHI of 56. A total AHI lower than 5 is considered normal, and greater than 15 suggests the need for continuous positive airway pressure (CPAP) therapy. Central sleep apnea (CSA) is defined by a central AHI of 5 or more with at least half of the total events being central. (1)...
Central sleep apnea in a 38-year-old man.
From: CMAJ: Canadian Medical Association Journal(Vol. 194, Issue 16)
Publisher: CMA Impact Inc.
Document Type: Clinical report
Length: 560 words
Lexile Measure: 1370L
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