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CC BY-NC-ND 4.0 · Sleep Sci 2018; 11(04): 211-214
DOI: 10.5935/1984-0063.20180034
CASE REPORT

A case of positional central sleep apnea due to compression of the left vertebral artery on brainstem

Autor*innen

  • Christie Fiorella Zamora-Niño

    1   Hypnos Instituto del Sueño, Sleep Medicine, Neurology - Lima - Lima - Peru.

  • Brian Jose Villafuerte-Trisolini

    1   Hypnos Instituto del Sueño, Sleep Medicine, Neurology - Lima - Lima - Peru.

  • Darwin Roger Vizcarra-Escobar

    1   Hypnos Instituto del Sueño, Sleep Medicine, Neurology - Lima - Lima - Peru.
    2   Universidad Peruana Cayetano Heredia, Neurology - Lima - Lima - Peru.
    3   Clinica San Felipe, Neurology - Lima - Lima - Peru.
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Studies evaluating the association between Central Sleep Apnea (CSA) and positional sleep apnea are not commonly described and are barely understood. We report a case of a 51-year-old-male with moderate Obstructive Sleep Apnea (OSA) and severe CSA probably secondary to brainstem compression, which responded to the adoption of strict lateral body posture. The addition of Continuous Positive Airway Pressure (CPAP) optimally resolved the remaining obstructive respiratory events. We suggest including Magnetic Resonance Imaging (MRI) in the work-up plan of patients with positional CSA.

Central Sleep Apnea - Continuous Positive Airway Pressure - Posture - Sleep-Disordered Breathing - Magnetic Resonance Imaging


Publikationsverlauf

Eingereicht: 07. Juni 2018

Angenommen: 18. Oktober 2018

Artikel online veröffentlicht:
16. Oktober 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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