Enhanced drug-induced sleep endoscopy: Distinguishing central from obstructive apnea.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 36515430.
- Also identified by DOI 10.1002/lary.30517 and PMC identifier 9974765.
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Abstract
This case report describes a patient originally diagnosed with obstructive sleep apnea (OSA) who was later found to have central sleep apnea (CSA) during drug-induced sleep endoscopy, which was subsequently confirmed on an in-laboratory sleep study. The revised diagnosis resulted in a change in recommended therapy from hypoglossal nerve stimulation to phrenic nerve stimulation. This case report is a reminder that the sleep surgeon must be cognizant of the possibility of CSA being misclassified as OSA especially as home sleep studies become increasingly routine, and discusses ways to more easily distinguish between CSA and OSA. Laryngoscope, 133:706-708, 2023.
Medical subject headings
- Sleep Apnea, Obstructive
- Airway Obstruction
- Sleep Apnea, Central