Obstructive Sleep Apnea

Douglas B. Kirsch, MD, FAAN Sleep Neurology p. 908-928 August 2020, Vol.26, No.4 doi: 10.1212/CON.0000000000000885
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PURPOSE OF REVIEW Obstructive sleep apnea (OSA) is often overlooked by clinicians; however, undiagnosed OSA can lead to negative outcomes for patients, including patients with underlying neurologic conditions. Clinicians should be aware of what questions to ask, what diagnostic tests to use, and what treatments to consider in patients with OSA.

RECENT FINDINGS OSA influences many neurologic conditions, including stroke, epilepsy, headache, and neuromuscular conditions. Treatment of OSA is effective, especially with patient-tailored options, the correct education, and support.

SUMMARY OSA is a serious medical condition with impacts on patients’ health, safety, and quality of life. Clinicians should identify patients at high risk for OSA and arrange for appropriate diagnosis and treatment, which, in turn, may lead to the improvement of or reduction in risk for neurologic and other health conditions.

Address correspondence to Dr Douglas B. Kirsch, CHS Sleep Medicine, 1601 Abbey Pl, Bldg 2, Ste 200, Charlotte, NC 28209, Douglas.Kirsch@atriumhealth.org.

RELATIONSHIP DISCLOSURE: Dr Kirsch has served as president of the American Academy of Sleep Medicine and receives publishing royalties from Elsevier and UpToDate, Inc.

UNLABELED USE OF PRODUCTS/INVESTIGATIONAL USE DISCLOSURE: Dr Kirsch reports no disclosure.

© 2020 American Academy of Neurology.