A case of epileptic wave associated with SAS at PSG

DOI
  • Oku Yusuke
    Department of Otorhinolaryngology Head and Neck Surgery, Shin Tokyo Hospital
  • Matsunobu Takeshi
    Department of Otorhinolaryngology Head and Neck Surgery, Shin Tokyo Hospital
  • Tomioka Takuya
    Department of Otorhinolaryngology Head and Neck Surgery, Shin Tokyo Hospital
  • Araki Michitoshi
    Department of Otorhinolaryngology Head and Neck Surgery, Rakuwakai Otowa Hospital

Bibliographic Information

Other Title
  • 終夜睡眠ポリグラフ検査 (PSG) でてんかん波形を確認した閉塞性睡眠時無呼吸症の1例

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Description

<p>　Sleep apnea syndrome (SAS) is a common disorder. In the case of suspected SAS, the general treatments have included the doctor's interview, a screening test with a portable device and overnight polysomnography (PSG) as necessary. In Japan, in terms of implementation and adaptation of continuous positive airway pressure (CPAP), the apnea hypopnea index (AHI)≧40 was calculated using portable monitoring, and an AHI≧20 using PSG. However, portable monitoring cannot detect other sleep disorders which exist with SAS. It is preferable to have PSG which includes brain wave, electromyogram and electrooculogram findings. In this study, we identified a case of epileptic wave associated with SAS by means of PSG. In addition to SAS, an electroencephalographic abnormality was observed on PSG after portable monitoring, and electroencephalography diagnosed idiopathic generalized epilepsy. Therefore, it should be borne in mind that there is possibility of other sleep disorders occurring concomitantly with SAS.</p>

Journal

  • Stomato-pharyngology

    Stomato-pharyngology 29 (2), 251-255, 2016

    Japan Society of Stomato-pharyngology

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