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Case report: An OSAS patient with comorbid RLS/PLMS – a closer look at the causes of PAP intolerance

Since 2017, hypoglossal nerve stimulation has been included in the S3-guidelines on restorative sleep/sleep disorders as an alternative treatment for patients with obstructive sleep related breathing disorders who cannot tolerate conventional PAP-therapy. Under certain conditions, some of these pati...

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Detalles Bibliográficos
Autores principales: Dirks, Christina A. H., Bachmann, Cornelius G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10598657/
https://www.ncbi.nlm.nih.gov/pubmed/37885481
http://dx.doi.org/10.3389/fneur.2023.1257736
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author Dirks, Christina A. H.
Bachmann, Cornelius G.
author_facet Dirks, Christina A. H.
Bachmann, Cornelius G.
author_sort Dirks, Christina A. H.
collection PubMed
description Since 2017, hypoglossal nerve stimulation has been included in the S3-guidelines on restorative sleep/sleep disorders as an alternative treatment for patients with obstructive sleep related breathing disorders who cannot tolerate conventional PAP-therapy. Under certain conditions, some of these patients have the option to have a tongue pacemaker implanted during a surgical procedure to regain a restful night’s sleep. However, in some cases it does not solve the problem. In this case report, we present a patient who continued to have restless sleep despite implantation of a hypoglossus nerve stimulator. We provide a closer look at the underlying causes of PAP intolerance and emphasize the importance of a combined pneumological and neurological approach to sleep medicine in sleep-specific therapy evaluation.
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spelling pubmed-105986572023-10-26 Case report: An OSAS patient with comorbid RLS/PLMS – a closer look at the causes of PAP intolerance Dirks, Christina A. H. Bachmann, Cornelius G. Front Neurol Neurology Since 2017, hypoglossal nerve stimulation has been included in the S3-guidelines on restorative sleep/sleep disorders as an alternative treatment for patients with obstructive sleep related breathing disorders who cannot tolerate conventional PAP-therapy. Under certain conditions, some of these patients have the option to have a tongue pacemaker implanted during a surgical procedure to regain a restful night’s sleep. However, in some cases it does not solve the problem. In this case report, we present a patient who continued to have restless sleep despite implantation of a hypoglossus nerve stimulator. We provide a closer look at the underlying causes of PAP intolerance and emphasize the importance of a combined pneumological and neurological approach to sleep medicine in sleep-specific therapy evaluation. Frontiers Media S.A. 2023-10-11 /pmc/articles/PMC10598657/ /pubmed/37885481 http://dx.doi.org/10.3389/fneur.2023.1257736 Text en Copyright © 2023 Dirks and Bachmann. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Dirks, Christina A. H.
Bachmann, Cornelius G.
Case report: An OSAS patient with comorbid RLS/PLMS – a closer look at the causes of PAP intolerance
title Case report: An OSAS patient with comorbid RLS/PLMS – a closer look at the causes of PAP intolerance
title_full Case report: An OSAS patient with comorbid RLS/PLMS – a closer look at the causes of PAP intolerance
title_fullStr Case report: An OSAS patient with comorbid RLS/PLMS – a closer look at the causes of PAP intolerance
title_full_unstemmed Case report: An OSAS patient with comorbid RLS/PLMS – a closer look at the causes of PAP intolerance
title_short Case report: An OSAS patient with comorbid RLS/PLMS – a closer look at the causes of PAP intolerance
title_sort case report: an osas patient with comorbid rls/plms – a closer look at the causes of pap intolerance
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10598657/
https://www.ncbi.nlm.nih.gov/pubmed/37885481
http://dx.doi.org/10.3389/fneur.2023.1257736
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