Insomnia Secondary to Sleep-Related Breathing Disorders
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Patients with sleep-disordered breathing, particularly obstructive sleep apnea, may present with insomnia-predominant symptoms rather than classic sleep apnea symptoms. As polysomnography is not typically performed in the evaluation of insomnia, it is the challenge of the clinician to obtain a thorough history to determine if there are other signs or symptoms that may lead one to consider the diagnosis of sleep-disordered breathing in this group of patients. Treatment of concurrent sleep-disordered breathing and insomnia may also pose a challenge, as both disorders may need to be addressed for successful resolution of symptoms.
KeywordsInsomnia Obstructive sleep apnea Sleep-related breathing disorders
- 1.American Academy of Sleep Medicine (2005) International classification of sleep disorders: diagnostic and coding manual, 2nd edn. American Academy of Sleep Medicine, Westchester, ILGoogle Scholar
- 13.Guilleminault C, Palombini L, Poyares D, Chowdhuri S (2002) Chronic insomnia, premenopausal women and sleep disordered breathing: part 2. Comparison of nondrug treatment trials in normal breathing and UARS postmenopausal women complaining of chronic insomnia. J Psychosom Res 53:617–23CrossRefPubMedGoogle Scholar
- 36.Girault C, Muir JF, Mihaltan F, Borderies P, De La Giclais B, Verdure A, Samson-Dollfus D (1996) Effect of repeated administration of zolpidem on sleep, diurnal and nocturnal respiratory function, vigilance, and physical performance in patients with COPD. Chest 110:1203–11CrossRefPubMedGoogle Scholar