Download PDF
Sleep Breath 2003; 07(3): 147-150
DOI: 10.1055/s-2003-43076
CASE REPORT

Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Multiple Sleep Latency Test by Polysomnography: A Case Report

Robert Daniel Vorona1,4 , J. Catesby Ware1,2,3,4
  • 1Department of Internal Medicine, Eastern Virginia Medical School, Norfolk, Virginia
  • 2Department of Psychiatry, Eastern Virginia Medical School, Norfolk, Virginia
  • 3Department of Otolaryngology, Eastern Virginia Medical School, Norfolk, Virginia
  • 4Sentara Norfolk General Hospital, Sleep Disorders Center, Norfolk, Virginia
Further Information

Publication History

Publication Date:
21 October 2003 (online)

    Permissions and Reprints

ABSTRACT

Obstructive sleep apnea syndrome may disguise the presence of other less common but equally important etiologies of sleepiness in patients presenting to sleep disorder specialists. In this case report the authors detail how multiple polysomnograms performed over 6 years eventually suggested that a patient had both obstructive sleep apnea and narcolepsy.

KEYWORDS

Obstructive sleep apnea - narcolepsy - polysomnogram - multiple sleep latency test

REFERENCES

  • 1 Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults.  N Engl J Med . 1993;  328 1230-1235
    CrossrefPubMedSearch in Google Scholar
  • 2 Silber M, Krahn L, Olson E, Pankratz V. The epidemiology of narcolepsy in Olmstead County, Minnesota: a population-based study.  Sleep . 2002;  25 197-202
    PubMedSearch in Google Scholar
  • 3 Lavie P, Peled R. Narcolepsy is a rare disease in Israel.  Sleep . 1987;  10 608-609
    PubMedSearch in Google Scholar
  • 4 App W, Boatwright G, Ostrander S, Unruh M, Winslow D. Disorder of excessive daytime somnolence: a case series of 1000 patients.  J Ky Med Assoc . 1990;  88 393-396
    PubMedSearch in Google Scholar
  • 5 Guilleminault C, Philip P. Tiredness and somnolence despite initial treatment of obstructive sleep apnea syndrome (What to do when an OSAS patient stays hypersomnolent despite treatment).  Sleep . 1996;  19 S117-S122
    PubMedSearch in Google Scholar
  • 6 Carpio Munoz V, Carmona Bernal C, Garcia Diaz E. et al . Association of obstructive apnea syndrome during sleep and narcolepsy.  Arch Bronconeumol . 1998;  34 310-311
    PubMedSearch in Google Scholar
  • 7 Mitler M M, Van den Hoed J, Carskadon M A. et al . REM sleep episodes during the Multiple Sleep Latency Test in narcoleptic patients.  Electroencephalogr Clin Neurophysiol . 1979;  46 479-481
    PubMedSearch in Google Scholar
  • 8 Carskadon M, Dement W. Sleep studies on a 90-minute day.  Electroencephalogr Clin Neurophysiol . 1975;  39 145-155
    PubMedSearch in Google Scholar
  • 9 Chervin R, Aldrich M. Sleep onset REM periods during multiple sleep latency tests in patients evaluated for sleep apnea.  Am J Respir Crit Care Med . 2000;  161 426-431
    PubMedSearch in Google Scholar
  • 10 Nicolas A, Lesperance P, Montplaisir J. Is excessive daytime sleepiness with periodic leg movements during sleep a specific diagnostic category?.  Eur Neurol. 1998;  40 22-26
    CrossrefPubMedSearch in Google Scholar