一名患有阻塞性睡眠呼吸暂停（OSA）合并症的患者因夜间额叶癫痫性脑病（NFLE）发作而窒息。
Choking in the night due to NFLE seizures in a patient with comorbid OSA.
作者信息
Terzaghi Michele, Sartori Ivana, Cremascoli Riccardo, Rustioni Valter, Manni Raffaele
机构信息
Sleep Medicine and Epilepsy Unit - C. Mondino National Neurological Institute, Pavia, Italy.
Epilepsy Surgery Centre "C. Munari" Sleep Disorders Centre, Niguarda Hospital, Milan, Italy.
出版信息
J Clin Sleep Med. 2014 Oct 15;10(10):1149-52. doi: 10.5664/jcsm.4122.
Awakenings from sleep with gasping and feeling of choking can be due to nocturnal frontal lobe epilepsy (NFLE) as well as sleep apnea (OSA). We describe the case of an overweight man, referred to us with suspected OSA and reporting awakenings from sleep accompanied by gasping and a choking feeling, which proved to be, after investigation, NFLE seizures in a patient with comorbid OSA. We underline that gasping or choking on awakening, especially when accompanied by abnormal motor-behavioral manifestations, should be interpreted with caution. Careful investigation by means of video-polysomnography is warranted in selected cases, including patients with a strong clinical suspicion of sleep apnea.
睡眠中因喘气和窒息感而醒来可能是由于夜间额叶癫痫（NFLE）以及睡眠呼吸暂停（OSA）。我们描述了一名超重男性的病例，他因疑似OSA被转诊至我们这里，并报告睡眠中醒来伴有喘气和窒息感，经调查发现，该患者患有合并OSA的NFLE发作。我们强调，醒来时的喘气或窒息，尤其是伴有异常运动行为表现时，应谨慎解读。对于某些病例，包括临床高度怀疑睡眠呼吸暂停的患者，有必要通过视频多导睡眠图进行仔细检查。
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