A Case of Obstructive Sleep Apnea Syndrome Presenting as Paradoxical Insomnia

作者：An Hoyoung; Chung Seockhoon^*

来源：Psychiatry Investigation, 2010, 7(1): 75-78.

DOI：10.4306/pi.2010.7.1.75

• Sleep apnea syndrome
• Paradoxical insomnia
• Sleep state misperception
• Nocturnal polysomnography

A 63-year-old female with obstructive sleep apnea syndrome (OSAS) presented with clinical features indistinguishable from paradoxical insomnia (PI). Her main complaint was chronic insomnia. Her subjective sleep latency was 2-3 h, subjective sleep time was less than 3 h, despite spending 8 h in bed, and she reported near constant awareness of her surroundings while lying in bed. Her body mass index (BMI) was 22.67 kg/m(2), and her neck circumference was 34.5 cm. Nocturnal polysomnography (NPSG) findings indicated severe OSAS. Her total sleep time (TST) was 359 min, sleep latency 13 min, and her apnea/hypopnea index (AHI) was 74.6/h. The aim of this report is to evaluate the association between PI and OSAS cases confirmed by NPSG. Psychiatry Investig 2010;7:75-78

• 出版日期2010-3