Sleepwalking Precipitated by Treatment of Sleep Apnea with Nasal CPAP*
CASE REPORT
Richard P. MiIlllum, M.D., FC.C.P.;t GerardJ Ki/I/I, R. Psg. I:t and Mary A. Carskat/lln, Ph.D.t
A 33-year-old man with a long history of snoring, observed apneic episodes, and excessive daytime sleepiness, underwent all-night polysomnography, which demonstrated severe obstructive sleep apnea. During the nasal CPAP trial, two episodes of sleepwalking were observed during a period of delta sleep rebound. (Chest 1991; 99:750-51)
N
asal ('~lIItinuous positive airway pressure has hecome a standard form of therapy for patients with obstructive sleep apnea. I 4 In the first hours of use. nasal CPAP induces profound chan~es in sleep architecture includin~ falls in sta~es 1-2 and increases in sta~es 3-4 slow wave sleep.'''' as well as increases in REM sleep." A 33-year-old man experienced two episodes of sleepwalkin~ durin~ a rehound in slow wave sleep when first placed on nasal CPAP in the lahoratory, ·Fmm the tDf'partment of Medidnf'. Rhode Island Hospital and the tDepartment of Psyehiatry and lIuman Behavior. Bradley lIospital and Bmwn University. Pmvidenee, RI. Reprin/ n'qU('.~/s: Dr. Millman, Fblmonary DivLrion, Rhode Islarul
Hlls/Ii/ll/, Providencl' 0290.3
A 33-yf'ar-old ohese white man underw..nt all-night polysomnographic e"alnation f(.r a pr..snmed diagnosis of OSA. He had a 14year history of very loud snoring and a three-year history ofohserved apneas aecompanied hy the l"mplaint of exeessive daytime sleepiness. lie d..ni..d any past history of sleepwalking or night terrors. In the first 2..'5 hours of the stndy, th.. patient experieneed 266 episod..s of ohstructive apnea ranging fmm 2() to 30 sel,mds in NREM sleep and 30 to 60 st'
CASE REPORT
Richard P. MiIlllum, M.D., FC.C.P.;t GerardJ Ki/I/I, R. Psg. I:t and Mary A. Carskat/lln, Ph.D.t
A 33-year-old man with a long history of snoring, observed apneic episodes, and excessive daytime sleepiness, underwent all-night polysomnography, which demonstrated severe obstructive sleep apnea. During the nasal CPAP trial, two episodes of sleepwalking were observed during a period of delta sleep rebound. (Chest 1991; 99:750-51)
N
asal ('~lIItinuous positive airway pressure has hecome a standard form of therapy for patients with obstructive sleep apnea. I 4 In the first hours of use. nasal CPAP induces profound chan~es in sleep architecture includin~ falls in sta~es 1-2 and increases in sta~es 3-4 slow wave sleep.'''' as well as increases in REM sleep." A 33-year-old man experienced two episodes of sleepwalkin~ durin~ a rehound in slow wave sleep when first placed on nasal CPAP in the lahoratory, ·Fmm the tDf'partment of Medidnf'. Rhode Island Hospital and the tDepartment of Psyehiatry and lIuman Behavior. Bradley lIospital and Bmwn University. Pmvidenee, RI. Reprin/ n'qU('.~/s: Dr. Millman, Fblmonary DivLrion, Rhode Islarul
Hlls/Ii/ll/, Providencl' 0290.3
A 33-yf'ar-old ohese white man underw..nt all-night polysomnographic e"alnation f(.r a pr..snmed diagnosis of OSA. He had a 14year history of very loud snoring and a three-year history ofohserved apneas aecompanied hy the l"mplaint of exeessive daytime sleepiness. lie d..ni..d any past history of sleepwalking or night terrors. In the first 2..'5 hours of the stndy, th.. patient experieneed 266 episod..s of ohstructive apnea ranging fmm 2() to 30 sel,mds in NREM sleep and 30 to 60 st'
