A Case of De Novo Positional Complex Sleep Apnea Syndrome (CompSAS)
Obstructive sleep apnea (OSA) is well known to often improve with non-supine positioning as opposed to supine positioning. Emerging research supports a role for sleep position management in patients with central sleep apnea (CSA) as well. We report a case of de novo complex sleep apnea syndrome (Com...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Reports |
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| Online Access: | https://www.mdpi.com/2571-841X/6/3/32 |
| _version_ | 1797577160773337088 |
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| author | Abdelkarim Khalifa Marc Spielmanns |
| author_facet | Abdelkarim Khalifa Marc Spielmanns |
| author_sort | Abdelkarim Khalifa |
| collection | DOAJ |
| description | Obstructive sleep apnea (OSA) is well known to often improve with non-supine positioning as opposed to supine positioning. Emerging research supports a role for sleep position management in patients with central sleep apnea (CSA) as well. We report a case of de novo complex sleep apnea syndrome (CompSAS) in a 78-year-old female, who presented after a car accident due to unclear syncope. Diagnostic polysomnography (PSG) showed moderate OSA. A CompSAS developed under automatic positive airway pressure (APAP), while 4 years of downloaded data showed good adherence. No significant benefit was reported under adaptive servo ventilation (ASV) and BiPAP-ST, while a reduction in CSA in the non-supine position was noticed. Oxygen and sleep positional therapy (SPT) were considered, resulting in a significant improvement in CSA and sleep quality. Further research on the prevalence of positional CSA is needed. |
| first_indexed | 2024-03-10T22:04:04Z |
| format | Article |
| id | doaj.art-2ab2f83e7a404690b678b38e87c5461e |
| institution | Directory Open Access Journal |
| issn | 2571-841X |
| language | English |
| last_indexed | 2024-03-10T22:04:04Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Reports |
| spelling | doaj.art-2ab2f83e7a404690b678b38e87c5461e2023-11-19T12:50:39ZengMDPI AGReports2571-841X2023-07-01633210.3390/reports6030032A Case of De Novo Positional Complex Sleep Apnea Syndrome (CompSAS)Abdelkarim Khalifa0Marc Spielmanns1Sleep Medicine Center Zurich Oberland, GZO Wetzikon, 8620 Wetzikon, SwitzerlandSleep Medicine Center Zurich Oberland, GZO Wetzikon, 8620 Wetzikon, SwitzerlandObstructive sleep apnea (OSA) is well known to often improve with non-supine positioning as opposed to supine positioning. Emerging research supports a role for sleep position management in patients with central sleep apnea (CSA) as well. We report a case of de novo complex sleep apnea syndrome (CompSAS) in a 78-year-old female, who presented after a car accident due to unclear syncope. Diagnostic polysomnography (PSG) showed moderate OSA. A CompSAS developed under automatic positive airway pressure (APAP), while 4 years of downloaded data showed good adherence. No significant benefit was reported under adaptive servo ventilation (ASV) and BiPAP-ST, while a reduction in CSA in the non-supine position was noticed. Oxygen and sleep positional therapy (SPT) were considered, resulting in a significant improvement in CSA and sleep quality. Further research on the prevalence of positional CSA is needed.https://www.mdpi.com/2571-841X/6/3/32central sleep apneaadaptive servo ventilationoxygen therapysleep positionaltherapy |
| spellingShingle | Abdelkarim Khalifa Marc Spielmanns A Case of De Novo Positional Complex Sleep Apnea Syndrome (CompSAS) Reports central sleep apnea adaptive servo ventilation oxygen therapy sleep positional therapy |
| title | A Case of De Novo Positional Complex Sleep Apnea Syndrome (CompSAS) |
| title_full | A Case of De Novo Positional Complex Sleep Apnea Syndrome (CompSAS) |
| title_fullStr | A Case of De Novo Positional Complex Sleep Apnea Syndrome (CompSAS) |
| title_full_unstemmed | A Case of De Novo Positional Complex Sleep Apnea Syndrome (CompSAS) |
| title_short | A Case of De Novo Positional Complex Sleep Apnea Syndrome (CompSAS) |
| title_sort | case of de novo positional complex sleep apnea syndrome compsas |
| topic | central sleep apnea adaptive servo ventilation oxygen therapy sleep positional therapy |
| url | https://www.mdpi.com/2571-841X/6/3/32 |
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