Stroke and sleep apnoea: cause or consequence?

Neau, Jean Philippe; Paquereau, J.; Meurice, J.-C.; Chavagnat, Jean Jacques

doi:10.1053/smrv.2002.0207

Cited by 38 publications

(15 citation statements)

References 64 publications

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“…However, published results are contradictory, with some showing no increase in OSAHS in those with transient ischaemic attacks [43], while others show a high prevalence of OSAHS in those with stroke (see [44] for review).…”

Section: Consequences Of Osamentioning

confidence: 84%

Epidemiology of sleep apnoea/hypopnoea syndrome and sleep-disordered breathing

Jennum¹,

Riha²

2009

Eur Respir J

263

153

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Epidemiological studies have revealed a high prevalence of sleep-disordered breathing in the community (up to 20%). A subset of these patients has concurrent symptoms of excessive daytime sleepiness attributable to their nocturnal breathing disorder and is classified as having obstructive sleep apnoea/hypopnoea syndrome (4-5% of the middle-aged population). There is strong evidence for an association of sleep apnoea with cardiovascular and cerebrovascular morbidity, as well as adverse public health consequences. Treatment and diagnosis have remained largely unchanged over the past 25 yrs. In moderate-to-severe obstructive sleep apnoea/hypopnoea syndrome, treatment with continuous positive airway pressure has been shown to be effective. Questions remain as to how to screen patients with sleep-disordered breathing. Should time-consuming diagnostic procedures with high sensitivity and specificity be employed, or should simpler methods be applied for screening populations at risk, e.g. in the primary care sector?

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Section: Consequences Of Osamentioning

confidence: 84%

Epidemiology of sleep apnoea/hypopnoea syndrome and sleep-disordered breathing

Jennum¹,

Riha²

2009

Eur Respir J

263

153

View full text Add to dashboard Cite

show abstract

“…However, other well known risk factors for snoring such as body mass index and oropharyngeal abnormalities were not analysed in this study [21]. Additionally, brain pathology causes of snoring, such as stroke, are often localized to the brainstem [22]. Neuroimaging was not part of this research study and hence one is unable to comment on the brain pathology associated with post-TBI snoring.…”

Section: Discussionmentioning

confidence: 97%

Prevalence and types of sleep disturbances acutely after traumatic brain injury

Rao¹,

Spiro²,

Vaishnavi³

et al. 2008

Brain Injury

101

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Primary objective-To assess the prevalence of and risk factors for sleep disturbances in the acute post-traumatic brain injury (TBI) period.Research design-Longitudinal, observational study.Methods and procedures-Fifty-four first time closed-head injury patients were recruited and evaluated within 3 months after injury. Pre-injury and post-injury sleep disturbances were compared on the Medical Outcome Scale for Sleep. The subjects were also assessed on anxiety, depression, medical comorbidity and severity of TBI.Main outcomes and results-Subjects were worse on most sleep measures after TBI compared to before TBI. Anxiety disorder secondary to TBI was the most consistent significant risk factor to be associated with worsening sleep status.Conclusions-Anxiety is associated with sleep disturbances after TBI. Further studies need to be done to evaluate if this is a causal relationship.

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“…Ta belle 2). Mit dem SAS sind re le van te kar diopul mo na le Be gleit er kran kun gen [91,106], wie ar te ri el ler Blut hoch druck [103], ko rona re Herz krank heit, Myo kard in farkt [73], Herz rhyth mus stö run gen [35], kon ge s ti ve Herzin suf fi zi enz und Schlag an fall [35,68,74], as so zi iert. Pa ti en ten mit ei nem mildie von ei ner The ra pie pro fi tie ren wür den, wer den der zeit nicht di ag nos ti ziert [105].…”

Section: Be Gleit Er Kran Kun Genunclassified

Anesthesia and sleep apnea syndrome

2005

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The perioperative risk for patients with obstructive sleep apnea syndrome and the optimal anaesthesiological management of these patients have not been well elucidated. The prevalence of obstructive sleep apnea with significant symptoms is estimated to be 4% in men and 2% in women. However, in 80-95% of patients this syndrome is not sufficiently diagnosed. Thus identification of patients at risk and a thorough multidisciplinary diagnostic approach are essential for optimal perioperative management. The risk of perioperative complications, like cardiopulmonary compromise, and difficulties in airway management is elevated. The most important aspects of perioperative management include evaluation of intubating conditions, careful search for cardiopulmonary morbidity, permanent control of patient airways, sensible use of anaesthetics, sedatives, and narcotics, and strict monitoring of vital signs. If ambulatory nasal continuous positive airway pressure (CPAP) therapy has been established preoperatively, this should be continued in the perioperative period. Postoperative monitoring should be performed in an intensive care or intermediate care unit. Controlled clinical studies on the best perioperative management of patients with obstructive sleep apnea are urgently required.

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Stroke and sleep apnoea: cause or consequence?

Cited by 38 publications

References 64 publications

Epidemiology of sleep apnoea/hypopnoea syndrome and sleep-disordered breathing

Epidemiology of sleep apnoea/hypopnoea syndrome and sleep-disordered breathing

Prevalence and types of sleep disturbances acutely after traumatic brain injury

Anesthesia and sleep apnea syndrome

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