Misinterpretation of sleep-breathing disorder by XXXX .

@entity1 @entity11627 @entity1353 @entity10522 @entity519 @entity25 @entity22
We report a case of misinterpretation of @entity25 @entity1353 due to @entity10522 . A 67-year-old @entity1 was diagnosed with @entity25 @entity1353 and subsequently placed on treatment with nasal continuous positive airway pressure (CPAP). The initial diagnostic evaluation did not include measurement of anterior tibialis electromyogram. The respiratory disturbance index of the initial evaluation was 23. After a brief period of nasal CPAP use, the @entity1 discontinued the treatment because no significant change in daytime alertness was noted and signs of CPAP-related @entity22 appeared. The @entity1 was restudied polysomnographically with monitoring of anterior tibialis electromyograms. This study identified 392 leg movements of which 65% were associated with brief EEG arousal from sleep. Double-blind analysis of respiratory disturbance and leg movements yielded a total number of 360 arousals in the overnight recording. Eighty-five percent of all respiratory events could be associated with @entity11627 following periodic limb movement-associated EEG arousal. No significant @entity519 was recorded with these events. We hypothesize that chemoreceptor stimulation secondary to EEG arousal during sleep is responsible for this @entity11627 . This case report highlights that recording and scoring of leg movements must be an integral part of polysomnographic evaluations.
