Case Report
Version 1
Preserved in Portico This version is not peer-reviewed
A Case of De Novo Positional Complex Sleep Apnea Syndrome (CompSAS)
Version 1
: Received: 6 May 2023 / Approved: 10 May 2023 / Online: 10 May 2023 (03:28:11 CEST)
A peer-reviewed article of this Preprint also exists.
Khalifa, A.; Spielmanns, M. A Case of De Novo Positional Complex Sleep Apnea Syndrome (CompSAS). Reports 2023, 6, 32. Khalifa, A.; Spielmanns, M. A Case of De Novo Positional Complex Sleep Apnea Syndrome (CompSAS). Reports 2023, 6, 32.
Abstract
Abstract: Obstructive sleep apnea (OSA) is well known to often improve with non-supine positioning as opposed to su¬pine positioning. Emerging research supports a role for sleep position management in patients with central sleep apnea (CSA) as well. We report a case of de novo Complex Sleep apnea Syndrome (CompSAS) in a 78-year-old female, who presented after a car accident due to unclear syncope. Diagnostic polysomnography (PSG) showed a moderate OSA. A CompSAS developed under Automatic positive airway pressure (APAP), while download data of 4 years showed a good adherence. No significant benefit was reported under Adaptive Servo Ventilation (ASV) and BiPAP-ST, while a reduction of CSA in non-supine position was noticed. Oxygen and sleep positional therapy (SPT) were considered resulting in a significant improvement of CSA and sleep quality. Further research on the prevalence of positional CSA is needed.
Keywords
Central sleep apnea; adaptive servo ventilation; oxygen therapy; sleep positional therapy
Subject
Medicine and Pharmacology, Pulmonary and Respiratory Medicine
Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Comments (0)
We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.
Leave a public commentSend a private comment to the author(s)
* All users must log in before leaving a comment
