家庭睡眠呼吸暂停检测对自发性脑脊液漏患者阻塞性睡眠呼吸暂停诊断的可靠性
Reliability of Home Sleep Apnea Testing for Diagnosing Obstructive Sleep Apnea in Patients With Spontaneous Cerebrospinal Fluid Leaks.
作者信息
Johns James D, Mortazavi Armin, Welschmeyer Alexandra, Kim H Jeffrey, Mikula Suzette K, Hoa Michael
机构信息
Department of Otolaryngology, Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, D.C., USA.
Department of Otolaryngology, Head and Neck Surgery, Georgetown University School of Medicine, Washington, D.C., USA.
出版信息
Cureus. 2022 Oct 3;14(10):e29854. doi: 10.7759/cureus.29854. eCollection 2022 Oct.
STUDY OBJECTIVES
To establish the prevalence of obstructive sleep apnea (OSA) in patients with spontaneous cerebrospinal fluid (sCSF) leaks and demonstrate the reliability of home sleep apnea testing (HSAT) to screen for OSA in this population.
METHODS
A literature review was performed to assess data on OSA prevalence in sCSF leaks. An institutional retrospective review was performed of 20 patients with sCSF leaks who met inclusion criteria. Patients without prior sleep studies were prospectively administered sleep studies, either HSAT or polysomnogram (PSG).
RESULTS
Twenty patients met the inclusion criteria. Two patients had prior sleep studies while 18 patients obtained prospective sleep studies following diagnosis and prior to management of sCSF leaks. Nineteen patients (95%) had evidence of mild or greater OSA.
CONCLUSIONS
This study re-demonstrates the high prevalence of OSA in patients with sCSF leaks, consistent with current literature, and investigates the reliability of HSAT for diagnosis of OSA in this population.
研究目的
确定自发性脑脊液（sCSF）漏患者中阻塞性睡眠呼吸暂停（OSA）的患病率，并证明家庭睡眠呼吸暂停检测（HSAT）在该人群中筛查OSA的可靠性。
方法
进行文献综述以评估sCSF漏患者中OSA患病率的数据。对20例符合纳入标准的sCSF漏患者进行了机构回顾性研究。对未进行过先前睡眠研究的患者前瞻性地进行睡眠研究，采用HSAT或多导睡眠图（PSG）。
结果
20例患者符合纳入标准。2例患者曾进行过睡眠研究，18例患者在诊断sCSF漏并进行治疗前进行了前瞻性睡眠研究。19例患者（95%）有轻度或更严重OSA的证据。
结论
本研究再次证明sCSF漏患者中OSA的患病率很高，与当前文献一致，并研究了HSAT在该人群中诊断OSA的可靠性。
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