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Related Concept Videos

Sleep Apnea01:21

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Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
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A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
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Largest Neck Circumference Associated With Obstructive Sleep Apnea: A Case Report.

Mohamed Bilal Haradwala1, Manjamalai Sivaraman1

  • 1Department of Neurology, University of Missouri, Columbia, USA.

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|March 25, 2024
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Summary
This summary is machine-generated.

Obstructive sleep apnea (OSA) risk is linked to neck circumference (NC). This case reports a 25-inch NC, the largest ever documented, highlighting extreme obesity

Keywords:
circumference of the neckobesity hypoventilation syndromeobesity-related illnesses (oris)obstructive sleep apnea (osa)risk factors for obstructive sleep apnea (osa)

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Area of Science:

  • Sleep Medicine
  • Cardiology
  • Endocrinology

Background:

  • Obstructive sleep apnea (OSA) is a prevalent sleep disorder.
  • Obesity markers, including neck circumference (NC), waist circumference (WC), and body mass index (BMI), are associated with OSA.
  • Increased NC is a known risk factor for OSA development and severity.

Observation:

  • A patient presenting for OSA management exhibited an unprecedented NC of 25 inches.
  • This measurement significantly exceeds the previously reported largest NC of 20.5 inches.
  • The case highlights an extreme clinical manifestation of obesity's impact on OSA.

Findings:

  • The extreme NC suggests a potential for higher OSA risk and severity.
  • This case underscores the critical role of basic physical measurements in risk assessment.
  • Challenges in managing OSA in cases of extreme obesity are implied.

Implications:

  • Further research is needed to define the upper limits of NC for OSA risk stratification.
  • The findings emphasize the importance of incorporating physical examination, like NC measurement, into OSA assessment protocols.
  • Understanding the impact of extreme obesity is crucial for optimizing OSA treatment strategies.