Two occult causes of insomnia and their therapeutic problems.
Insomnia may be associated with a sleep-induced apnea syndrome in nonobese patients who snore. The "central" type of apnea appears to be predominant in this population, in opposition to Pickwickian and nonobese hypersomniacs. An abnormal "swallowing reflex syndrome," also induced by sleep, may be a differential diagnosis. Sleeping pills that are central nervous system depressants should be cautiously prescribed for patients with such syndromes.
D000328:Adult; D001049:Apnea / Q000150:complications*; D001784:Blood Gas Analysis; D001794:Blood Pressure; D003680:Deglutition Disorders / Q000150:complications*; D006801:Humans; D006993:Hypnotics and Sedatives / Q000009:adverse effects; D008297:Male; D012129:Respiratory Function Tests; D007319:Sleep Initiation and Maintenance Disorders / Q000188:drug therapy / Q000209:etiology*; D012894:Sleep Stages; D013577:Syndrome
D006993:Hypnotics and Sedatives