| Upper airway resistance syndrome--report of three cases. | |
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MedLine Citation:
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PMID: 10895347 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Patients with the upper airway resistance syndrome are frequently overlooked, and even if clinically suspected, often escape identification by polysomnographic monitoring. CLINICAL PICTURE: Three cases (2 women and a man) with excessive daytime sleepiness and fatigue were confirmed to have the upper airway resistance syndrome after undergoing polysomnography with oesophageal pressure monitoring. TREATMENT: Nasal CPAP during sleep was prescribed for 2 cases but 1 case refused all available treatment options. OUTCOME: After one month of CPAP therapy, the 2 cases reported improved symptoms and Epworth sleepiness scores. Lower daytime blood pressures were also recorded. CONCLUSIONS: Oesophageal pressure monitoring and EEG arousal analysis can greatly enhance the diagnostic accuracy in the upper airway resistance syndrome. Accurate diagnosis and effective treatment of this condition is important because of its sequelae of hypersomnolence and association with other disorders like systemic hypertension. |
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Authors:
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K C Ong; P P Cheng; Y Y Ong |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Annals of the Academy of Medicine, Singapore Volume: 29 ISSN: 0304-4602 ISO Abbreviation: Ann. Acad. Med. Singap. Publication Date: 2000 Mar |
Date Detail:
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Created Date: 2000-11-22 Completed Date: 2000-11-22 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7503289 Medline TA: Ann Acad Med Singapore Country: SINGAPORE |
Other Details:
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Languages: eng Pagination: 242-5 Citation Subset: IM |
Affiliation:
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Department of Respiratory & Critical Care Medicine, Singapore General Hospital, Singapore. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Electroencephalography Female Humans Male Middle Aged Polysomnography Prognosis Sleep Apnea, Obstructive / diagnosis*, physiopathology, therapy Treatment Refusal |
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