Title: Overlap of Attention Deficit and Hyperreactivity Disorder with Obstructive Sleep Apnea – A Case Presentation
American Journal of Psychiatry and Neuroscience
Volume 5, Issue 6-1, November 2017, Pages: 35-35
Received: Oct. 10, 2017; Accepted: Oct. 12, 2017; Published: Oct. 13, 2017
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Authors
Carmen Columbia Stroescu, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Stefan Dumitrache-Rujinski, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Vlad Bogdan Stroescu, Medlife Medical Center, Psychiatric Department, Bucharest, Romania
Ionela Erhan, “Marius Nasta” Institute of Pulmonology, 4th Pulmonology Department, Bucharest, Romania
Alina Croitoru, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Miron Alexandru Bogdan, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
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Abstract
Introduction: Obstructive sleep apnea (OSA) is more prevalent in psychiatric patients than in general population. Early diagnosis and adequate management of OSA could improve prognosis in this category.
Methods: We present a case of moderate OSA in a patient with attention deficit and hyperreactivity disorder (ADHD) with prominent symptoms following a H1N1 viral encephalitis.
Results and discussion: 31 years-old male, night shift-worker, active smoker, overweight, on long-term psychotropic therapy (extended release methylphenidate), with partial response to therapy. Reports frequent arousals, sometimes feeling like gasping or choking, unrefreshing sleep, chronic fatigue. Epworth Sleepiness Scale score was 10/24 (excessive daytime sleepiness). STOP-Bang Questionnaire score was 3/8 (high risk of OSA). Home unattended cardio-respiratory poligraphy identified moderate OSA and Positive Airway Pressure (PAP) therapy was prescribed. At 1 year follow-up: works during daytime, improved performance with lower dose of stimulant medication; agrees to adhere to a smoking cessation programme; no weight loss.
OSA could be responsible for both night time and daytime symptoms in psychiatric patients. The STOP-Bang Questionnaire (a screening tool for OSA) identifies subjects at risk for this condition.
PAP therapy improved the patient’s performance and also allowed lowering of psychotropic medication dose.
Research support: No conflict of interest to disclose.
Keywords
Obstructive Sleep Apnea, Psychiatric Disease, STOP-Bang Questionnaire
To cite this article
Carmen Columbia Stroescu, Stefan Dumitrache-Rujinski, Vlad Bogdan Stroescu, Ionela Erhan, Alina Croitoru, Miron Alexandru Bogdan, Title: Overlap of Attention Deficit and Hyperreactivity Disorder with Obstructive Sleep Apnea – A Case Presentation, American Journal of Psychiatry and Neuroscience. Special Issue: “In and out of Your Mind” Abstracts of 1st Eastern European Conference of Mental Health. Vol. 5, No. 6-1, 2017, pp. 35-35. doi: 10.11648/j.ajpn.s.2017050601.45
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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