Sleep apnoea syndrome--a too frequent misdiagnosis.

Sleep apnoea syndrome--a too frequent misdiagnosis.

Sir, A 45 year old woman, experienced progressive deterioration of memory, loss of concentration, anxiety, tiredness, insomnia with nightmares and arousals characterized by unexplained fear and, rarely, thoughts of suicide. She developed a profound depression, so that 2 months later in November 1987 she decided to discontinue herjob in the stock market. A diagnosis of menopausal-related anxious...

Obstructive Sleep Apnoea Syndrome

Obstructive Sleep Apnoea Syndrome

Primary sleep apnoea syndrome.

Polygraphic study in 18 men with the sleep apnoea syndrome showed central, upper airway obstructive, and mixed apnoeas. Fifty per cent of the total apnoea time was central, 33% was obstructive, and 17% was mixed. Apnoeic episodes were accompanied by oxygen desaturation, relative bradycardia and hypotonia of orofacial muscles innervated by ponto-medullary neurons. During regular breathing these ...

A frequent phenotype for paediatric sleep apnoea: short lingual frenulum

A short lingual frenulum has been associated with difficulties in sucking, swallowing and speech. The oral dysfunction induced by a short lingual frenulum can lead to oral-facial dysmorphosis, which decreases the size of upper airway support. Such progressive change increases the risk of upper airway collapsibility during sleep. Clinical investigation of the oral cavity was conducted as a part ...