Poothrikovil Rajesh P, Al Asmi Abdullah, Nandhagopal Ramachandiran, Al Abri Mohammed
a Department of Clinical Physiology , Sultan Qaboos University Hospital , Muscat , Sultanate of Oman .
b Department of Medicine (Neurology Unit) , Sultan Qaboos University Hospital , Muscat , Sultanate of Oman.
Neurodiagn J. 2017;57(2):153-164. doi: 10.1080/21646821.2017.1315219.
Sleep-disordered breathing (SDB) in adults is a common condition that is associated with a range of medical problems including hypertension, cardiovascular complications, and increase of seizure frequency in susceptible individuals. Polysomnography (PSG) is considered the gold standard measure in the diagnosis of SDB. This is an observational study on the frequency of SDB in adult patients referred for routine EEG. We found that routine EEG was capable of detecting moderate to severe symptoms of SDB in 14% of adult patients (95% confidence interval = 8.1-19.9%). The state of sleep during a routine EEG recording could help in assessing a SDB pattern and could provide an opportunity for further diagnostic sleep consultation if the patient has not previously reported problems with sleep or if SDB was not considered by the referring physician. This study underscores the need for a practice approach to ensure that patients suffering from SDB are properly referred to a sleep specialist. In the context of this report, some training and experience in PSG can be an added advantage for EEG technologists in the detection of SDB.
成人睡眠呼吸障碍（SDB）是一种常见病症，与一系列医学问题相关，包括高血压、心血管并发症以及易感个体癫痫发作频率增加。多导睡眠图（PSG）被认为是诊断SDB的金标准方法。这是一项针对因常规脑电图（EEG）检查而转诊的成年患者中SDB发生频率的观察性研究。我们发现，常规EEG能够在14%的成年患者中检测到中度至重度SDB症状（95%置信区间 = 8.1 - 19.9%）。常规EEG记录期间的睡眠状态有助于评估SDB模式，并且如果患者此前未报告过睡眠问题或者转诊医生未考虑到SDB，那么该记录可为进一步的睡眠诊断咨询提供契机。这项研究强调了需要一种实践方法，以确保患有SDB的患者能被妥善转诊至睡眠专科医生处。在本报告的背景下，EEG技术人员具备一些PSG方面的培训和经验，对于检测SDB会是一项额外优势。
