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"Postpolio" sequelae and sleep-related disordered breathing

A A Hsu1, B A Staats

  • 1Division of Pulmonary and Critical Care Medicine, Mayo Clinic Rochester, MN 55905, USA.

Mayo Clinic Proceedings
|March 25, 1998
PubMed
Summary
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Postpolio sequelae (PPS) can cause sleep-related disordered breathing (SRDB), including obstructive sleep apnea and hypoventilation. Clinical evaluation of PPS patients should assess sleep disturbances.

Area of Science:

  • Neurology
  • Pulmonology
  • Sleep Medicine

Background:

  • Poliomyelitis survivors may develop postpolio sequelae (PPS).
  • Sleep disturbances are common in patients with PPS.

Purpose of the Study:

  • To analyze clinical manifestations of sleep-related disordered breathing (SRDB) in patients with PPS.
  • To identify different types of SRDB in this population.

Main Methods:

  • Retrospective review of medical records of 108 patients with PPS and sleep disturbances.
  • Sleep evaluation including overnight oximetry or polysomnography for 35 eligible patients.

Main Results:

  • Three SRDB patterns identified: obstructive sleep apnea (OSA), hypoventilation, and combined OSA-hypoventilation.

Related Experiment Videos

  • OSA group (N=19) characterized by obesity and normal lung function.
  • Hypoventilation group (N=7) associated with normal weight, neurological deficits, scoliosis, and reduced lung function.

    • Conclusions:

    • SRDB is a late sequela of poliomyelitis.
    • Distinct clinical and polysomnographic features characterize SRDB subtypes in PPS.
    • Sleep evaluation is crucial for managing PPS patients.