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Obstructive Sleep Apnea

What is Sleep Apnea 

This is a condition of temporary closure of the upper respiratory passage airway during sleep. This leads to frequent cessation of breathing for ten seconds or more (apnea). Apnea events of 20 per hour is pathological. It can lead to serious life long complications which are preventable through treatment. 

The seriousness of Obstructive Sleep Apnea is often ignored because of the humorous nature of the two primary complaints by patients. Patients often suffer for years before getting help!

Complications and Presentation 

Patient Complaints

    • Night time sleep is rarely refreshing 
    • Light sleep and frequent interruptions, fatigue and lack of energy
    • Dry throat in the morning 
    • Frequent headaches 
    • Poor work performance 
    • Reduction in mental concentration, alertness, and memory

Spouse/Bed Partner Complaints

    • Loud excessive snoring 
    • Daytime sleepiness 
    • Jerky leg movements while asleep 
    • Patient stops breathing while asleep 
    • Restless sleep at night

Epidemiology, and Complications 

Causes and Association of Obstructive Sleep Apnea 

Obstructive Sleep Apnea is caused upper respiratory airway structure collapse due to loss of pharyngeal muscular tone during sleep. This is often observed in overweight males, particularly those individuals with large necks. 

Frequency 

Obstructive Sleep Apnea affects 1% to 2% of the total population. 5% (one in twenty) of the target population (i.e.. Males between age 25 and 55, being overweight) are affected. 

Complications and Progression 

Oxygen deficiency for various body tissues particularly vital organs such as the heart and brain leads to high blood pressure, health problems and possible stroke. Narcolepsy like syndromes increase. 

Deprivation of Deep Sleep Stages 

Motor vehicle accidents and industrial occupational injuries increase because of sleepiness. Effects of Obstructive Sleep Apnea are often equal to the effect of alcohol intoxication on motor performance. 

Behavioral Problems, Presentation 

Patients are often suffering from the following: 

Home Environment - a couple are frequently sleeping apart because of loud snoring 

Work Environment - poor job performance, the person may be perceived as being lazy 

Socially Observed - irritability, poor tolerance, loss of interest, unable to socialize because of fatigue and sleepiness and depression

Treatment 

Moderate Form of Obstructive Sleep Apnea is helped through alcohol elimination, weight reduction and regular exercise and avoiding sleeping on your back during helps. 

Severe Form of Obstructive Sleep Apnea is treated by the use of Continuous Positive Airway Pressure (CPAP). This prevents collapse of upper respiratory passage airway during sleep by maintaining positive airway pressure. 

Referral Procedures 

  • Depending on insurance, please call.  

 

 

 
Neurology & Sleep Medicine © 2003