scholarly journals A case of obstructive sleep apnea syndrome associated with floppy eyelid syndrome: positive effect of CPAP therapy

2017 ◽  
Vol 87 (1) ◽  
Author(s):  
Roberto Porta ◽  
Laura Comini ◽  
Luca Barbano ◽  
Luca Bianchi ◽  
Michele Vitacca
Keyword(s):  
Daytime Sleepiness ◽  
Sleep Apnea Syndrome ◽  
Sleep Apnoea ◽  
Obstructive Sleep Apnoea Syndrome ◽  
Ocular Symptoms ◽  
Obstructive Sleep ◽  
Short Period ◽  
History Of ◽  
Respiratory Polygraphy ◽  
Waking Up

<p>The obstructive sleep apnoea syndrome (OSAS) may be associated with several eyes disorders, among which the most common is the floppy eyelid syndrome (FES). We intended to highlight the association between OSAS and FES and evaluate the effect of FES treatment with Continuous Positive Airway Pressure (CPAP). A 50-year patient with a 10-year history of snoring, sleep fragmentation and daytime sleepiness associated with several comorbidities has been studied. For six months, several ocular symptoms were present, particularly on waking up in the morning. An overnight respiratory polygraphy was performed at baseline and after CPAP titration. The treatment with CPAP corrects apnea/hypopnea events and rapidly improves patient’s daytime sleepiness and eyes FES-related symptoms. This improvement is already evident after a very short period of treatment.</p><p> </p>

scholarly journals Self-reported sleepiness and not the apnoea hypopnoea index is the best predictor of sleepiness-related accidents in obstructive sleep apnoea

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
P. Philip ◽  
S. Bailly ◽  
M. Benmerad ◽  
J. A. Micoulaud-Franchi ◽  
Y. Grillet ◽  
...  
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Traffic Accidents ◽  
Sleep Apnoea ◽  
Near Miss ◽  
Cross Sectional ◽  
Periodic Leg Movements ◽  
Obstructive Sleep ◽  
History Of ◽  
Respiratory Polygraphy ◽  
Sectional Analysis

Abstract To evaluate the value of apnoea + hypopnoea index versus self-reported sleepiness at the wheel in anticipating the risk of sleepiness-related accidents in patients referred for obstructive sleep apnoea. A cross-sectional analysis of the French national obstructive sleep apnoea registry. 58,815 subjects referred for a suspicion of obstructive sleep apnoea were investigated by specific items addressing sleepiness at the wheel and sleepiness-related accidents. Apnoea + hypopnoea index was evaluated with a respiratory polygraphy or full polysomnography. Subjects had a median age of 55.6 years [45.3; 64.6], 65% were men, with a median apnoea + hypopnoea index of 22 [8; 39] events/h. Median Epworth sleepiness scale score was 9 [6; 13], 35% of the patients reported sleepiness at the wheel (n = 20,310), 8% (n = 4,588) reported a near-miss accident and 2% (n = 1,313) reported a sleepiness-related accident. Patients reporting sleepiness at the wheel whatever their obstructive sleep apnoea status and severity exhibited a tenfold higher risk of sleepiness-related accidents. In multivariate analysis, other predictors for sleepiness-related accidents were: male gender, ESS, history of previous near-miss accidents, restless leg syndrome/periodic leg movements, complaints of memory dysfunction and nocturnal sweating. Sleep apnoea per se was not an independent contributor. Self-reported sleepiness at the wheel is a better predictor of sleepiness-related traffic accidents than apnoea + hypopnoea index.

scholarly journals Daytime Sleepiness Among Young Adult Omani Car Drivers

2018 ◽  
Vol 18 (2) ◽  
pp. 143 ◽  
Author(s):  
Mohammed A. Al-Abri ◽  
Samir Al-Adawi ◽  
Ibrahim Al-Abri ◽  
Faisal Al-Abri ◽  
Atsu Dorvlo ◽  
...  
Keyword(s):  
Young Adult ◽  
Sleep Duration ◽  
Daytime Sleepiness ◽  
Sleep Apnea Syndrome ◽  
University Hospital ◽  
Motor Vehicles ◽  
Obstructive Sleep Apnoea Syndrome ◽  
Berlin Questionnaire ◽  
Nocturnal Sleep ◽  
Obstructive Sleep

Objectives: Sleepiness and fatigue play significant roles in exacerbating the occurrence of car crashes. However, there is a dearth of studies examining the prevalence of sleepiness while driving among Omanis. This study aimedto determine the proportion of young Omani adults who confess to daytime sleepiness while driving and to investigate associations between gender, daytime sleepiness and risk of obstructive sleep apnoea syndrome (OSAS). Methods: This cross-sectional study took place at the Sultan Qaboos University Hospital, Muscat, Oman, between May and July 2014 and included 600 young adult Omani non-commercial drivers. The Berlin Questionnaire and Epworth Sleepiness Scale (ESS) were distributed among the participants, along with additional questions about their sleeping habits. Associations between daytime sleepiness while driving and nocturnal sleep duration, risk of OSAS and gender were determined. Results: A total of 492 private vehicle drivers took part in the study (response rate: 82%), of which 50.4% were male. Overall, 124 Omanis (25.2%) reported experiencing daytime sleepiness while driving at least once per month. There was a significant association between nocturnal sleep duration of <6 hours and sleepiness while driving (P = 0.042). Female participants were significantly more likely to score >10 on the ESS, indicating a greater propensity for daytime sleepiness (P = 0.006). However, male drivers were significantly more likely to report sleepiness while driving (P = 0.001). Conclusion: Sleepiness while driving was common among young male drivers in Oman and might be due to nocturnal sleep deprivation. Further studies are needed so that preventative measures can be developed.Keywords: Motor Vehicles; Traffic Accidents; Sleep; Fatigue; Obstructive Sleep Apnea Syndrome; Oman.

scholarly journals Comparison of different cephalometric variables in patients with and without history of snoring

2017 ◽  
Vol 5 (12) ◽  
pp. 5283
Author(s):  
Azhar Khan ◽  
Mohamad Imran ◽  
Mohammed Imran ◽  
Shoib N. Parkar ◽  
Mueed U. Islam ◽  
...  
Keyword(s):  
Hyoid Bone ◽  
Sleep Apnea Syndrome ◽  
Sleep Apnoea ◽  
Control Group ◽  
Mandibular Plane ◽  
Obstructive Sleep ◽  
High Prevalence ◽  
History Of ◽  
Group 2 ◽  
Group 1

Background: Obstructive sleep apnea syndrome has a high prevalence among adults. Cephalometric variables can be a valuable method for evaluating patients with this syndrome. The objective of this study is to evaluate and compare the craniofacial variables in subjects with and without snoring by cephalometric analysis.Methods: 40 patients were included in the study who were divided into two groups; group 1 of 20 snoring patients and group 2 control group of 20 non-snoring patients and were evaluated and compared for various cephalometric variables.Results: The distance from the hyoid bone to the mandibular plane (MP-H) was the only variable that showed a statistically significant correlation between two groups.Conclusions: Cephalometric variables are useful tools for evaluating the patients with snoring who are predisposed to obstructive sleep apnoea. The distance from the hyoid bone to the mandibular plane showed a statistically significant correlation between two groups.

scholarly journals Association of napping with incident cardiovascular events in a prospective cohort study

Heart ◽  
2019 ◽  
Vol 105 (23) ◽  
pp. 1793-1798 ◽  
Author(s):  
Nadine Häusler ◽  
Jose Haba-Rubio ◽  
Raphael Heinzer ◽  
Pedro Marques-Vidal
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Lower Risk ◽  
Previous History ◽  
Population Based ◽  
Sleep Apnoea ◽  
Obstructive Sleep ◽  
History Of ◽  
Relationship Of

ObjectiveThere is controversy regarding the effect of napping on cardiovascular disease (CVD), with most studies failing to consider napping frequency. We aimed to assess the relationship of napping frequency and average nap duration with fatal and non-fatal CVD events.Methods3462 subjects of a Swiss population based cohort with no previous history of CVD reported their nap frequency and daily nap duration over a week, and were followed over 5.3 years. Fatal and non-fatal CVD events were adjudicated. Cox regressions were performed to obtain HRs adjusted for major cardiovascular risk factors and excessive daytime sleepiness or obstructive sleep apnoea.Results155 fatal and non-fatal events occurred. We observed a significantly lower risk for subjects napping 1–2 times weekly for developing a CVD event (HR 0.52, 95% CI 0.28 to 0.95) compared with non-napping subjects, in unadjusted as well as adjusted models. The increased HR (1.67, 95% CI 1.10 to 2.55) for subjects napping 6–7 times weekly disappeared in adjusted models (HR 0.89, 95% CI 0.58 to 1.38). Neither obstructive sleep apnoea nor excessive daytime sleepiness modified this lower risk. No association was found between nap duration and CVD events.ConclusionSubjects who nap once or twice per week have a lower risk of incident CVD events, while no association was found for more frequent napping or napping duration. Nap frequency may help explain the discrepant findings regarding the association between napping and CVD events.

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