A Case of Obstructive Sleep Apnea Syndrome Presenting as Paradoxical Insomnia.
- Author:
Hoyoung AN
1
;
Seockhoon CHUNG
Author Information
1. Department of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. schung@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Sleep apnea syndrome;
Sleep state misperception;
Nocturnal polysomnography
- MeSH:
Body Mass Index;
Deception;
Female;
Humans;
Middle Aged;
Neck;
Polysomnography;
Sleep Apnea Syndromes;
Sleep Apnea, Obstructive;
Sleep Wake Disorders, Intrinsic;
Sleep Initiation and Maintenance Disorders
- From:Psychiatry Investigation
2010;7(1):75-78
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 63-year-old female with obstructive sleep apnea syndrome (OSAS) presented with clinical features indistinguishable from paradoxical insomnia (PI). Her main complaint was chronic insomnia. Her subjective sleep latency was 2-3 h, subjective sleep time was less than 3 h, despite spending 8 h in bed, and she reported near constant awareness of her surroundings while lying in bed. Her body mass index (BMI) was 22.67 kg/m2, and her neck circumference was 34.5 cm. Nocturnal polysomnography (NPSG) findings indicated severe OSAS. Her total sleep time (TST) was 359 min, sleep latency 13 min, and her apnea/hypopnea index (AHI) was 74.6/h. The aim of this report is to evaluate the association between PI and OSAS cases confirmed by NPSG.
