A Case of Hypertensive Intracerebral Hemorrhage Accompanying Sleep Apnea
Stroke is very common in patients with sleep disordered breathing, especially in the elderly. We report the case of a 26-year-old man who had been referred to us with a sudden left side motor weakness of the body, headache, chronic fatigue, and witnessed sleep apneas. Intracerebral hemorrhage in the...
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| Format: | Article |
| Language: | English |
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Korean Society of Sleep Medicine
2013-12-01
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| Series: | Sleep Medicine Research |
| Subjects: | |
| Online Access: | http://www.sleepmedres.org/upload/pdf/smr-4-2-56.pdf |
| _version_ | 1818890954822647808 |
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| author | Dae Wui Yoon Seung Ku Lee Jin Kwan Kim Chang Ho Yun Seung Hoon Lee Chol Shin |
| author_facet | Dae Wui Yoon Seung Ku Lee Jin Kwan Kim Chang Ho Yun Seung Hoon Lee Chol Shin |
| author_sort | Dae Wui Yoon |
| collection | DOAJ |
| description | Stroke is very common in patients with sleep disordered breathing, especially in the elderly. We report the case of a 26-year-old man who had been referred to us with a sudden left side motor weakness of the body, headache, chronic fatigue, and witnessed sleep apneas. Intracerebral hemorrhage in the right external capsule and putamen was identified upon brain computed tomography. He had hypertension which had not been diagnosed previously. On polysomnography, apnea-hypopnea index was 73.0/h and arousal index was 74.7/h, indicating severe sleep apnea. Continuous positive airway pressure titration was conducted to determine the optimal pressure to alleviate the respiratory disturbances. Treatment with antihypertensive medication reduced blood pressure (BP) from 197/145 mm Hg to 130/80 mm Hg after 10 days of use. Co-treatment with the medication and auto-adjustable positive airway pressure additionally decreased BP to 110/60 mm Hg and normalized respiratory disturbances. In addition to BP, left hemiparesis, morning headache, daytime sleepiness, and chronic fatigue were all improved. Early treatment of OSA could help facilitate the rehabilitation of or recovery of weakness in such patients. |
| first_indexed | 2024-12-19T17:33:07Z |
| format | Article |
| id | doaj.art-15829c470c424085aadcc1776a3db4be |
| institution | Directory Open Access Journal |
| issn | 2093-9175 2233-8853 |
| language | English |
| last_indexed | 2024-12-19T17:33:07Z |
| publishDate | 2013-12-01 |
| publisher | Korean Society of Sleep Medicine |
| record_format | Article |
| series | Sleep Medicine Research |
| spelling | doaj.art-15829c470c424085aadcc1776a3db4be2022-12-21T20:12:23ZengKorean Society of Sleep MedicineSleep Medicine Research2093-91752233-88532013-12-0142565910.17241/smr.2013.4.2.5642A Case of Hypertensive Intracerebral Hemorrhage Accompanying Sleep ApneaDae Wui Yoon0Seung Ku Lee1Jin Kwan Kim2Chang Ho Yun3Seung Hoon Lee4Chol Shin5 Institute of Human Genomic Study, College of Medicine, Korea University Ansan Hospital, Ansan, Korea Institute of Human Genomic Study, College of Medicine, Korea University Ansan Hospital, Ansan, Korea Department of Biomedical Laboratory Science, Jungwon University, Goesan, Korea Department of Neurology and Clinical Neuroscience Center, College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea Department of Otorhinolaryngology, College of Medicine, Korea University Ansan Hospital, Ansan, Korea Institute of Human Genomic Study, College of Medicine, Korea University Ansan Hospital, Ansan, KoreaStroke is very common in patients with sleep disordered breathing, especially in the elderly. We report the case of a 26-year-old man who had been referred to us with a sudden left side motor weakness of the body, headache, chronic fatigue, and witnessed sleep apneas. Intracerebral hemorrhage in the right external capsule and putamen was identified upon brain computed tomography. He had hypertension which had not been diagnosed previously. On polysomnography, apnea-hypopnea index was 73.0/h and arousal index was 74.7/h, indicating severe sleep apnea. Continuous positive airway pressure titration was conducted to determine the optimal pressure to alleviate the respiratory disturbances. Treatment with antihypertensive medication reduced blood pressure (BP) from 197/145 mm Hg to 130/80 mm Hg after 10 days of use. Co-treatment with the medication and auto-adjustable positive airway pressure additionally decreased BP to 110/60 mm Hg and normalized respiratory disturbances. In addition to BP, left hemiparesis, morning headache, daytime sleepiness, and chronic fatigue were all improved. Early treatment of OSA could help facilitate the rehabilitation of or recovery of weakness in such patients.http://www.sleepmedres.org/upload/pdf/smr-4-2-56.pdfStrokeIntracerebral hemorrhageApnea-hypopnea indexSleep apneaContinuous positive airway pressure |
| spellingShingle | Dae Wui Yoon Seung Ku Lee Jin Kwan Kim Chang Ho Yun Seung Hoon Lee Chol Shin A Case of Hypertensive Intracerebral Hemorrhage Accompanying Sleep Apnea Sleep Medicine Research Stroke Intracerebral hemorrhage Apnea-hypopnea index Sleep apnea Continuous positive airway pressure |
| title | A Case of Hypertensive Intracerebral Hemorrhage Accompanying Sleep Apnea |
| title_full | A Case of Hypertensive Intracerebral Hemorrhage Accompanying Sleep Apnea |
| title_fullStr | A Case of Hypertensive Intracerebral Hemorrhage Accompanying Sleep Apnea |
| title_full_unstemmed | A Case of Hypertensive Intracerebral Hemorrhage Accompanying Sleep Apnea |
| title_short | A Case of Hypertensive Intracerebral Hemorrhage Accompanying Sleep Apnea |
| title_sort | case of hypertensive intracerebral hemorrhage accompanying sleep apnea |
| topic | Stroke Intracerebral hemorrhage Apnea-hypopnea index Sleep apnea Continuous positive airway pressure |
| url | http://www.sleepmedres.org/upload/pdf/smr-4-2-56.pdf |
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