Hsu Nancy, Hsieh Caleb, Thomas Aaron, Chang Melisa
Scripps Health, San Diego, California.
VA Greater Los Angeles Healthcare, Los Angeles, California.
J Clin Sleep Med. 2020 Jul 15;16(7):1209-1212. doi: 10.5664/jcsm.8454.
Abnormalities of the upper airway anatomy are an underrecognized cause of obstructive sleep apnea. We present a unique case of a 51-year-old man with episodic sleep-maintenance insomnia and oromandibular dystonia requiring botulinum toxin injections of the temporalis and masseter muscles. He underwent multiple sleep studies and was found to have obstructive sleep apnea temporally associated with the severity of dystonia symptoms and dosing of botulinum toxin.
上气道解剖结构异常是阻塞性睡眠呼吸暂停未被充分认识的一个病因。我们报告了一例独特的病例,一名51岁男性,患有发作性睡眠维持性失眠和口下颌肌张力障碍,需要对颞肌和咬肌注射肉毒杆菌毒素。他接受了多次睡眠研究,发现患有阻塞性睡眠呼吸暂停,其在时间上与肌张力障碍症状的严重程度及肉毒杆菌毒素的剂量相关。