Top
20
Doctor insights on: Neurological Exam For Central Sleep Apnea

Share
1

1
What are the best hospitals for the treatment of central hypoventilation, central sleep apnea, pathologic hypersomnia, seizures?

What are the best hospitals for the treatment of central hypoventilation, central sleep apnea, pathologic hypersomnia, seizures?

MANY CHOICES: Consider some of the best facilities for respiratory problems. National jewish hospital is ranked #1 by usnwr, but you could receive amazing care at johns hopkins hospital, mass general, mayo clinic, ucla, or a number of other academic centers. ...Read more

See 1 more doctor answer
Dr. Patricia Mcgarry
440 doctors shared insights

Obstructive Sleep Apnea (Definition)

Sleep apnea has two causes. It may be 'central' or 'obstructive'. Central apnea occurs as a disorder in the way the brain controls breathing. Obstructive sleep apnea is much more common and involves an anatomical blockage of the airway. Usually, the tongue blocks the airway, preventing the passage of air between the a sleep study is needed to diagnose particular ...Read more


2

2
Which is worse: obstructive sleep apnea or central sleep apnea?

Which is worse: obstructive sleep apnea or central sleep apnea?

Both: Both are serious conditions, manageable with treatment, and serious if neglected. The severity varies in every particular case, the classification is not intended to determine which one is milder, they just have different ways to treat them. In general, treatment compliance is an important factor that affects treatment outcomes of both. ...Read more

See 3 more doctor answers
4

4
Can an autonomic disorder cause sleep apnea?

Can an autonomic disorder cause sleep apnea?

Certainly: 'obstructive' sleep apnea is due to anatiomical causes. The tongue, soft palate and the tonsils can block the airway during sleep. An intraoral appliance constructed by a trained dentist can alleviate this problem. ...Read more

See 1 more doctor answer
5

5
Have ob apnea, use cpap nightly. Fatigue persists! could not nap for mslt. Rem sleep from 6-7am in overnight study. Rem interruption in am = fatigue?

Have ob apnea, use cpap nightly. Fatigue persists! could not nap for mslt. Rem sleep from 6-7am in overnight study. Rem interruption in am = fatigue?

Consider Nuvigil: For patients with ongoing sleepiness in spirited of cpap, Nuvigil is usually the next recorded treatment. It only occasionally raises blood pressure, but you should have it checked if you start on it. Good luck to you. ...Read more

See 1 more doctor answer
6

6
Why does diagnosis of sleep apnea exclude diagnosis of Chronic Fatigue Syndrome? Especially in cases where CPAP fails to remit daytime sleepiness and lassitude,

Why does diagnosis  of sleep apnea exclude diagnosis of Chronic Fatigue Syndrome? Especially  in cases where CPAP fails to remit daytime sleepiness and lassitude,

It doesn't but: Since sleep apnea alone is associated with fatigue, one needs to make sure that this is treated adequately. However, having one condition does not preclude one from having another. ...Read more

See 1 more doctor answer
7

7
Prior ENT exam saw no obstruction relating to sleep apnea. Today diagnosed with/apnea & low oxygen level. Does this mean I have central sleep apnea?

Prior ENT exam saw no obstruction relating to sleep apnea. Today diagnosed with/apnea & low oxygen level. Does this mean I have central sleep apnea?

Sleep Study: A sleep physician will order a sleep study that will clarify your condition. CPAP is the usual initial treatment, but your sleep physician will be the one to decide what course of treatment to follow. Low O2 is a serious condition which requires immediate treatment so don't delay. ...Read more

8

8
What are circadian rhythm sleep disorders related to sleep paralysis and nightmares?

What are circadian rhythm sleep disorders related to sleep paralysis and nightmares?

Sleep disorders: Sleep phase disorders may need to be diagnosed via sleep study and usually require really expert coaching to correct. Nightmares and often also sleep paralysis can easily be addressed with my No More Nightmares training. Please contact me if you request further details. ...Read more

See 1 more doctor answer
9

9
Can vocal cord dysfunction be related to obstructive sleep apnea or sleep disturbances?

Yes: If gerd is part of the picture, the stomach contents can cause vocal cord dysfunction. You need to be treated for the sleep apnea. ...Read more

See 3 more doctor answers
11

11
Could years of sleep apnea obstructive cause autonomic dysfunction?

Could years of sleep apnea obstructive cause autonomic dysfunction?

See below: Good question. Obstructive sleep apnea (osa) ; autonomic dysfunction have been studied intently over the recent years. There are direct links surfacing between the two but more indirect links exist via osa ; Insulin resistance. So to answer your question, it's possible, especially if the osa is poorly controlled w/ other comorbidities present exacerbating the situation. Best to keep osa in check! ...Read more

See 1 more doctor answer
12

12
I have chronic migraine/fibromyalgia. Sleep study ordered, AHI is 26.1.One sleep specialist this is sleep apnea and I need CPAP, other says its fine?

I have chronic migraine/fibromyalgia. Sleep study ordered, AHI is 26.1.One sleep specialist this is sleep apnea and I need CPAP, other says its fine?

Go to primary doc: the specifics about the sleep study are important. abnormal sleep patterns must be correctly interpreted, as the treatment is usually long term. migraine prevention is not complicated ie beta blockers, midrin, fibromyaogia is treatable , and sleep should be fixed first. ...Read more

13

13
What's done for sleep apnea?

What's done for sleep apnea?

R/O OSA: OSA can be suggested by history and physical. Excess snoring/daytime sleepiness/apneic episodes/ aM headaches. And the Exam obesity/small oral airway/collar size>18. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to tolerate. ENT FOR UPP EVAL. ...Read more

See 2 more doctor answers
15

15
Is a diagnostic sleep study required prior to an "wakefulness test" for narcolepsy?

Is a diagnostic sleep study required prior to an "wakefulness test" for narcolepsy?

MSLT can be done: in isolation from a formal diagnostic sleep study, however, it is more valuable for clinical purposes and to have a solid lay of the land if the sleep study in full is done in conjunction. I'd be happy to answer more questions for you if you drop me a line at: www.healthtap.com/drsaghafi ...Read more

16

16
Sleep study: 154 hypopneas, zero obstructive apneas, 2 central apneas. Could dysautonomia be to blame? (I have Ehlers-Danlos w/POTS & other auto sx.)

Apnea: Your various medical conditions may indeed cause you sleep issues. The sleep doctor should be able to help you do better and, if needed, have you see other medical specialists. Please follow the evaluation and advice of all the doctors you might need to see. Once under better control doctor visits will tone down markedly. ...Read more

18

18
What conditions other than sleep apnea or RLS could be found by a sleep study? Thank you.

What conditions other than sleep apnea or RLS could be found by a sleep study? Thank you.

UARS: Upper airway resistance syndrom. Sometimes even missed in sleep studies if the physician not look for it and not aware of it. ...Read more

See 2 more doctor answers
19

19
Sleep paralysis. Could this be linked to sleep apnea?

Sleep paralysis. Could this be linked to sleep apnea?

Sleep Paralysis: Sleep researchers conclude that, in most cases, sleep paralysis is simply a sign that your body is not moving smoothly through the stages of sleep. Rarely is sleep paralysis linked to deep underlying psychiatric problems. http://www.webmd.com/sleep-disorders/guide/sleep-paralysis#1 ...Read more

See 2 more doctor answers
Dr. Patrick Melder
1,058 doctors shared insights

Apnea (Definition)

This is the cessation of breathing for 10 seconds or more. Most apnea is obstructive being caused by collapse or obstruction of the airway leading to lack of air flow. However, it can be a central process, where the respiratory center of the brain fails to signal the respiratory respiratory system to initiate a breath. Lastly, some apnea is mixed central ...Read more


Dr. Carlo Hatem
1,197 doctors shared insights

Sleep Apnea (Definition)

A condition in which you stop breathing during sleep. There are 2 main types. Obstructive the most common. Central the less common. When people speak about sleep apnea they usually refer to obstructive where you cannot breathe due to ...Read more