Michałek Monika, Marschollek Karol, Kuliczkowski Wiktor, Waliszewska-Prosół Marta, Wojakowska Anna, Madziarska Katarzyna, Martynowicz Helena
Department of Diabetology, Hypertension and Internal Diseases, Wroclaw Medical University, Wroclaw, Poland.
Department of Neurology, Wroclaw Medical University, Wroclaw, Poland.
Front Med (Lausanne). 2025 Jun 26;12:1596512. doi: 10.3389/fmed.2025.1596512. eCollection 2025.
The current case report presents an unusual coincidence of yawning and sleep bruxism during sleep in a patient with obstructive sleep apnea (OSA). Both conditions were previously defined in the literature as challenging, multidisciplinary problems with complex and little-known pathogenesis. A 71-year-old man with a history of coronary artery disease underwent video-polysomnography (vPSG) due to the suspicion of OSA. vPSG results confirmed severe obstructive sleep apnea, sleep bruxism, and frequent episodes of yawning during sleep. Therapeutic intervention included positive airway pressure therapy and resulted in the resolution of apneic events. Interestingly, PAP titration also reduced the frequency of episodes of sleep bruxism and yawning. Results of the current case report suggest a temporal relationship between desaturation and yawning episodes, thus indicating the hypoxic basis for this behavior. Resolution of yawning after PAP therapy appears consistent with this theory. An instrumental approach to OSA diagnosis supplemented by video-recording allowed the diagnosis of the unusual presence of yawning during sleep.
本病例报告展示了一名阻塞性睡眠呼吸暂停（OSA）患者在睡眠期间打哈欠与睡眠磨牙症同时出现的罕见巧合。这两种情况在文献中先前都被定义为具有挑战性的多学科问题，其发病机制复杂且鲜为人知。一名有冠状动脉疾病史的71岁男性因疑似OSA接受了视频多导睡眠图（vPSG）检查。vPSG结果证实存在严重阻塞性睡眠呼吸暂停、睡眠磨牙症以及睡眠期间频繁打哈欠的情况。治疗干预包括气道正压通气治疗，该治疗使呼吸暂停事件得到缓解。有趣的是，持续气道正压通气（PAP）滴定也降低了睡眠磨牙症和打哈欠发作的频率。本病例报告的结果表明血氧饱和度降低与打哈欠发作之间存在时间关系，从而表明这种行为的缺氧基础。PAP治疗后打哈欠的缓解似乎与该理论一致。通过视频记录辅助的OSA诊断手段能够诊断出睡眠期间打哈欠这种不寻常情况的存在。
