Young Woman With Sleep Disordered Breathing in the Intensive Care Unit: A CASE REPORT “Correct Diagnosis with PSG for sleep disordered breathing and epilepsy” For neurologists, pulmonologists, anesthesiologists”

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Kayabekir M., Naldan M., Ceylan ., Erol N., Yılmaz A., Köktürk O.

International Journal of Medical Reviews and Case Reports, cilt.4, sa.5, ss.60-61, 2020 (Hakemli Dergi)

Özet

ABSTRACT The objective of this case report is to propose an approach to sleep-disordered breathing in the intensive care unit (ICU) for clinicians and emergency medical doctors, especially neurologists, pulmonologists, anesthesiologists. 35-year old, female, obese (BMI: 39 kg/m2) and the paraplegic patient had been admitted to the Neurology Clinic 2 years ago with the complaints of apnea during day and night time, and contractions. The neurologist treated her with valproic acid. 2 years after the initiation of treatment, the patient was admitted to the emergency ward and then to ICU due to respiratory arrest. Polysomnography showed us the existence of very severe obstructive sleep apnea syndrome. Differential diagnosis of sleep-disordered breathing and epilepsy have been difficult for clinicians. KEYWORDS Sleep Disordered Breathing, Epilepsy, Definitive diagnosis, PSG