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- Title
Prevalence of Obstructive Sleep Apnea in Neurological Disorders.
- Authors
Rafi, Asma; Maqbool, Muzaffar; Malik, Samiullah Sami; Shah, Parvaiz Ahmad; Kaul, Rakesh
- Abstract
Objective-Obstructive Sleep Apnea(OSA) is a sleep disorder that involves cessation or significant decrease in airflow in the presence of breathing effort. OSAS is still widely under recognized by many primary care physicians around the globe. Any neurological condition that results in impaired tone of the upper airway muscles can add to airway obstruction and result in OSA, increasing the morbidity and decreasing the Health Related Quality Of Life (HRQOL) in this subset of patients. Therefore, the objective of this study was to assess the prevalence of OSA in patients with neurological disorders. Materials and Methods A 12-month study was conducted on 123 patients visiting our department, having the following neurological disorders: 1) Stroke 2) Parkinson's Disease 3) Epilepsy 4) Myasthenia Gravis 5) Myotonic Dystrophy. They were screened for OSA based on history, clinical examination and questionnaires for severity of the same. Epworth Sleepiness Score = 10 was considered as Excessive Daytime Sleepiness. The patients were then subjected to overnight Polysomnography (PSG) to study the actual prevalence of OSA in these patients. Results Out of the studied 123 patients, 57 belonged to stroke group of which 35(61.4) has OSA. Out of 31 patients of Parkinsons Disease, 10 (32.3%) had OSA. Out of 25 patients of Epilepsy,=10 (40%) had OSA. Out of 7 patients of Myasthenia Gravis, 3 (42.9%) had OSA. And out of 3 studied patients of Myotonic Dystrophy, 1 (33.33%) had OSA. The overall prevalence of OSA in patients with neurological disorders was 47.96%. Conclusion Our study marks the importance of having a high clinical suspicion of OSA in patients having neurological disorders, its severity, its relationship with age, gender, anthropometric parameters, stage and duration of disease.
- Subjects
SLEEP apnea syndromes; NEUROLOGICAL disorders; HYPERSOMNIA; MYASTHENIA gravis; PARKINSON'S disease; EPILEPSY
- Publication
JK Practitioner, 2022, Vol 27, Issue 4, p16
- ISSN
0971-8834
- Publication type
Article