Sleep Medicine 16 (2015) 805–806
Contents lists available at ScienceDirect
Sleep Medicine j o u r n a l h o m e p a g e : w w w. e l s e v i e r. c o m / l o c a t e / s l e e p
Images in Sleep Medicine
Continuous positive airway pressure treatment associated with face injury during rapid eye movement behavior disorder Fernando Morgadinho Santos Coelho a,b,*, Lenise Jihe Kim a, Renata Carvalho Cremaschi a,b, Débora Dias Pereira a, Sergio Tufik a a b
Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil Departamento de Neurologia e Neurocirurgia, Universidade Federal de São Paulo, São Paulo, Brazil
A R T I C L E
I N F O
Article history: Received 23 September 2014 Received in revised form 9 November 2014 Accepted 26 November 2014 Available online 5 March 2015 Keywords: REM behavior disorder Dementia of Lewy bodies CPAP Obstructive sleep apnea
1. Introduction to the case
2. Image analysis
An 82-year-old woman had complaints of snoring, excessive daytime sleepiness, and sleep-disordered breathing after undergoing successful neurosurgery to control normal pressure hydrocephaly. The patient was diagnosed with obstructive sleep apnea (OSA) after undergoing full-night polysomnography (PSG). The PSG showed an obstructive sleep apnea–hypopnea index of 56 events/h and a lowest oxygen saturation of 83%. No central sleep apnea was observed. After continuous positive airway pressure (CPAP) titration, the apnea– hypopnea index was normalized (
Contents lists available at ScienceDirect
Sleep Medicine j o u r n a l h o m e p a g e : w w w. e l s e v i e r. c o m / l o c a t e / s l e e p
Images in Sleep Medicine
Continuous positive airway pressure treatment associated with face injury during rapid eye movement behavior disorder Fernando Morgadinho Santos Coelho a,b,*, Lenise Jihe Kim a, Renata Carvalho Cremaschi a,b, Débora Dias Pereira a, Sergio Tufik a a b
Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil Departamento de Neurologia e Neurocirurgia, Universidade Federal de São Paulo, São Paulo, Brazil
A R T I C L E
I N F O
Article history: Received 23 September 2014 Received in revised form 9 November 2014 Accepted 26 November 2014 Available online 5 March 2015 Keywords: REM behavior disorder Dementia of Lewy bodies CPAP Obstructive sleep apnea
1. Introduction to the case
2. Image analysis
An 82-year-old woman had complaints of snoring, excessive daytime sleepiness, and sleep-disordered breathing after undergoing successful neurosurgery to control normal pressure hydrocephaly. The patient was diagnosed with obstructive sleep apnea (OSA) after undergoing full-night polysomnography (PSG). The PSG showed an obstructive sleep apnea–hypopnea index of 56 events/h and a lowest oxygen saturation of 83%. No central sleep apnea was observed. After continuous positive airway pressure (CPAP) titration, the apnea– hypopnea index was normalized (
