Idiopathic Central Sleep Apnoea: An Indian Case with Polysomnographic Findings
Ravi Gupta, Girish Sindhwani, Sourav Goyal, Jagdish Rawat, Vikas Kesarwani
Keywords :
Idiopathic central sleep apnoea, Polysomnography
Citation Information :
Gupta R, Sindhwani G, Goyal S, Rawat J, Kesarwani V. Idiopathic Central Sleep Apnoea: An Indian Case with Polysomnographic Findings. Indian J Chest Dis Allied Sci 2014; 56 (1):41-44.
Patients with idiopathic central sleep apnoea (ICSA) usually complain of poor quality sleep; yet many of them do not receive appropriate treatment because of poor recognition of ICSA by health professionals. We report the case of a patient with ICSA who was misdiagnosed and received treatment for seizures, depression or anxiety for a number of years and discuss the differential diagnosis and treatment options for ICSA.
American Academy of Sleep Medicine. International classification of sleep disorders. Diagnostic and Coding Manual; 2nd edition. Westchester: American Academy of Sleep Medicine; 2005.
Quadri S, Drake C, Hudgel DW. Improvement of idiopathic central sleep apnea with zolpidem. J Clin Sleep Med 2009;5:122-9.
Eckert DJ, Jordan AS, Merchia P, Malhotra A. Central sleep apnea: pathophysiology and treatment. Chest 2007;131;595-607.
Malhotra A, Owens RL. What is central sleep apnea. Respir Care 2010;55:1168-76.
Iber C, Ancoli-Israel S, Chesson A, Quan SF, editors. The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology, and Technical Specification; 1st edition. Westchester: American Academy of Sleep Medicine; 2007.
Walker JM, Farney RJ, Rhondeau SM, Boyle KM, Cloward TV, Shilling KC. Chronic opioid use is a risk factor for the development of central sleep apnea and ataxic breathing. J Clin Sleep Med 2007;3:455-61.
Szollosi I, Jones M, Morrell MJ, Helfet K, Coats AJS, Simonds AK. Effect of carbon dioxide inhalation on central sleep apnea and arousals from sleep. Respiration 2004;71:493-8.
Xie A, Fiona R, Rutherford R, Bradley TD. Effects of inhaled CO2 and added dead space on idiopathic central sleep apnea. J Appl Physiol 1997;82:918-26.
Khayat RN, Xie A, Patel AK, Kaminski A, Skatrud JB. Cardio-respiratory effect of added dead space in patients with heart failure and central sleep apnea. Chest 2003;123:1551-60.