Westwood Andrew J, Spector Andrew R, Auerbach Sanford H
Columbia University College of Physicians and Surgeons, New York, NY.
Department of Neurology, Duke University, Durham, NC.
J Clin Sleep Med. 2014 Jun 15;10(6):691-2. doi: 10.5664/jcsm.3806.
We describe a case series of 4 patients with varying degrees of obstructive sleep apnea who incidentally had a history of nocturnal leg cramps. None of the patients had periodic limb movements during the study and denied symptoms consistent with restless legs syndrome. In 3 of the 4 patients, nocturnal leg cramps resolved with CPAP treatment for OSA, while the fourth patient noted near-resolution of cramping after starting CPAP. In patients presenting with muscle cramps, obstructive sleep apnea should be considered.
我们描述了一组4例阻塞性睡眠呼吸暂停程度不同的患者,他们均有夜间腿部痉挛病史。在研究期间,所有患者均未出现周期性肢体运动,且否认有符合不宁腿综合征的症状。4例患者中有3例,阻塞性睡眠呼吸暂停的持续气道正压通气(CPAP)治疗使夜间腿部痉挛得到缓解,而第4例患者在开始使用CPAP后,腿部痉挛症状几乎完全缓解。对于出现肌肉痉挛的患者,应考虑阻塞性睡眠呼吸暂停。