A case of positional central sleep apnea due to compression of the left vertebral artery on brainstem

Studies evaluating the association between Central Sleep Apnea (CSA) and positional sleep apnea are not commonly described and are barely understood. We report a case of a 51-year-old-male with moderate Obstructive Sleep Apnea (OSA) and severe CSA probably secondary to brainstem...

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Bibliographic Details
Main Authors: Christie Fiorella Zamora-Niño, Brian Jose Villafuerte-Trisolini, Darwin Roger Vizcarra-Escobar
Format: Article
Language:English
Published: Brazilian Association of Sleep and Latin American Federation of Sleep Societies 2018-12-01
Series:Sleep Science
Subjects:
Online Access:http://sleepscience.org.br/export-pdf/517/ssci-11-04-0211.pdf
Description
Summary:Studies evaluating the association between Central Sleep Apnea (CSA) and positional sleep apnea are not commonly described and are barely understood. We report a case of a 51-year-old-male with moderate Obstructive Sleep Apnea (OSA) and severe CSA probably secondary to brainstem compression, which responded to the adoption of strict lateral body posture. The addition of Continuous Positive Airway Pressure (CPAP) optimally resolved the remaining obstructive respiratory events. We suggest including Magnetic Resonance Imaging (MRI) in the work-up plan of patients with positional CSA.
ISSN:1984-0659
1984-0063