Pawar Nilesh H, O'Riordan Jennifer A, Malik Preeti, Vasanwala Farhad F
Department of General Medicine, Sengkang General Hospital, Sengkang Health, Singhealth, Singapore.
Rehabilitation, Changi General Hospital.
Cureus. 2017 Sep 27;9(9):e1718. doi: 10.7759/cureus.1718.
Stroke is one of the most common causes of mortality and morbidity worldwide. Hemorrhagic stroke comprises 10-20% of strokes. Here, we present a case report of hemorrhagic stroke that may have been secondary to untreated Obstructive Sleep Apnea (OSA) in a young man with no other cardiovascular risk factors or features of metabolic syndrome. A 32-year-old man was admitted for hemorrhagic stroke. An initial thorough workup for the etiology of stroke was inconclusive. Eventually, a polysomnography was done, which demonstrated OSA suggesting that untreated OSA may have contributed to his stroke. OSA may cause hemorrhagic stroke by nocturnal blood pressure surge. So, all physicians should consider doing polysomnography for unexplained hemorrhagic stroke or in patients at risk. Diagnosing and treating OSA would be critical in preventing hemorrhagic stroke and its recurrences.
中风是全球范围内导致死亡和发病的最常见原因之一。出血性中风占中风病例的10%-20%。在此，我们报告一例出血性中风病例，该病例可能继发于一名无其他心血管危险因素或代谢综合征特征的年轻男性未经治疗的阻塞性睡眠呼吸暂停（OSA）。一名32岁男性因出血性中风入院。对中风病因进行的初步全面检查未得出结论。最终，进行了多导睡眠图检查，结果显示存在OSA，提示未经治疗的OSA可能导致了他的中风。OSA可能通过夜间血压骤升导致出血性中风。因此，所有医生对于不明原因的出血性中风或高危患者都应考虑进行多导睡眠图检查。诊断和治疗OSA对于预防出血性中风及其复发至关重要。
