Conway W A, Bower G C, Barnes M E
JAMA. 1977 Jun 20;237(25):2740-2.
A patient with hypersomnolence, micrognathia, and respiratory insufficiency had been treated eight years for narcolepsy. Sleep apnea because of upper airway obstruction was found, and a tracheostomy was performed. Following this the hypersomnolence and respiratory insufficiency resolved. This case emphasizes the importance of carefully evaluating the condition of patients complaining of hypersomnolence to detect those with intermittent upper airway obstruction occurring during sleep.
一名患有嗜睡、小颌畸形和呼吸功能不全的患者因发作性睡病已接受了八年治疗。发现因上呼吸道阻塞导致的睡眠呼吸暂停，并进行了气管切开术。此后，嗜睡和呼吸功能不全症状消失。该病例强调了仔细评估主诉嗜睡患者病情以发现那些在睡眠期间发生间歇性上呼吸道阻塞患者的重要性。
