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Sleep in postpolio syndrome
D G Steljes1, M H Kryger, B W Kirk
1Department of Internal Medicine, University of Manitoba, Winnipeg, Canada.
Chest
|July 1, 1990
Summary
Sleep-disordered breathing is common in post-polio syndrome, causing poor sleep quality and respiratory issues. Non-invasive ventilation, like nasal CPAP or mask ventilation, can significantly improve sleep and daytime symptoms in these patients.
Area of Science:
- Neurology
- Pulmonology
- Sleep Medicine
Background:
- Post-polio syndrome (PPS) can lead to late-onset neuromuscular and respiratory problems.
- Breathing disorders during sleep are hypothesized to contribute to PPS symptoms.
Purpose of the Study:
- To investigate sleep-disordered breathing in post-polio patients.
- To evaluate the effectiveness of non-invasive ventilation in managing these disorders.
Main Methods:
- Polysomnography was performed on 13 PPS patients, divided into two groups: those on ventilatory assistance (rocking beds) and those without.
- Patients requiring treatment were evaluated using nasal CPAP or nasal mask ventilation.
Main Results:
- Patients on rocking beds had poor sleep quality and significant oxygen desaturation, improving with nasal mask ventilation but not CPAP.
- A subset of patients without assistance (group 2b) had sleep disturbances and responded well to nasal CPAP for obstructive/mixed apnea.
- One patient with mixed apnea and hypoventilation showed dramatic improvement with nasal mask ventilation.
Conclusions:
- Sleep studies are crucial for PPS patients with daytime sleepiness and respiratory complaints.
- Nasal CPAP is effective for obstructive and mixed apnea in PPS.
- Nasal mask ventilation is beneficial for hypoventilation syndrome and severe sleep apnea in PPS, including those on rocking beds.
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