Case report: An OSAS patient with comorbid RLS/PLMS – a closer look at the causes of PAP intolerance

Frontiers in Neurology

Neurology

Christina A. H. Dirks¹  Cornelius G. Bachmann² 

[1] SomnoDiagnostics, Osnabrück, Germany;null;

关键词: hypoglossal nerve stimulation;    tongue pacemaker;    obstructive sleep apnea;    restless legs syndrome;    periodic limb movements in sleep;    augmentation;    PAP-therapy;   

DOI  :  10.3389/fneur.2023.1257736

 received in 2023-07-13, accepted in 2023-09-11,  发布年份 2023

来源: Frontiers

【 摘 要 】

Since 2017, hypoglossal nerve stimulation has been included in the S3-guidelines on restorative sleep/sleep disorders as an alternative treatment for patients with obstructive sleep related breathing disorders who cannot tolerate conventional PAP-therapy. Under certain conditions, some of these patients have the option to have a tongue pacemaker implanted during a surgical procedure to regain a restful night’s sleep. However, in some cases it does not solve the problem. In this case report, we present a patient who continued to have restless sleep despite implantation of a hypoglossus nerve stimulator. We provide a closer look at the underlying causes of PAP intolerance and emphasize the importance of a combined pneumological and neurological approach to sleep medicine in sleep-specific therapy evaluation.

【 授权许可】

Unknown   
Copyright © 2023 Dirks and Bachmann.