Document Detail

Retrognathia and sleep apnea. A life-threatening condition masquerading as narcolepsy.
MedLine Citation:
PMID:  576659     Owner:  NLM     Status:  MEDLINE    
The association of sleep apnea with daytime hypersomnolence without obesity, and its potentially lethal cardiopulmonary sequelae, make it crucial that this condition be distinguished from narcolepsy. A patient with retrognathia who had been diagnosed as a narcoleptic for 15 years had the primary complaint of excessive daytime sleepiness. Sleep laboratory evaluation showed severe hypoxemia and a mean of 366 upper airway obstructions per night. The patient was treated with a tracheotomy; this resulted in relief of the sleep-related upper airway obstructions, hypoxemia, and hypersomnolence.
N K Imes; W C Orr; R O Smith; R M Rogers
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  JAMA     Volume:  237     ISSN:  0098-7484     ISO Abbreviation:  JAMA     Publication Date:  1977 Apr 
Date Detail:
Created Date:  1977-05-20     Completed Date:  1977-05-20     Revised Date:  2014-09-17    
Medline Journal Info:
Nlm Unique ID:  7501160     Medline TA:  JAMA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1596-7     Citation Subset:  AIM; IM    
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MeSH Terms
Airway Obstruction / etiology,  surgery
Anoxia / etiology
Apnea / complications*
Diagnosis, Differential
Diagnostic Errors
Disorders of Excessive Somnolence / etiology
Middle Aged
Retrognathia / complications*,  diagnosis
Sleep Disorders*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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