[Sleep apnea syndrome and hypothyroidism: apropos of a new case and a review of the literature].
We present the case of a 63 years old man (177 cm height, 111 kg weight) with autoimmune thyroiditis. He had a long term history of hypersomnolence and heavy snoring. Two years ago, because of a bifascicular block and sinus pauses, a cardiac pace-maker was placed. Polysomnography recording showed a systematic periodic breathing characterized by profound desaturation waves (often 92% Sa O2 to 60% Sa O2) every 60 seconds, secondary to prolonged mixed apneas. Hormone replacement therapy and a 17 kg weight loss completely suppressed the sleep apnea syndrome within five months. We conclude that SAS is a major component of the respiratory depression in hypothyroidism and that normalisation of thyroid function can definitely cure the patient.
Coffernils
M
M
Ravez
P
P
Rivière-Lorfèvre
A
A
Herbaut
C
C
Coulon
J P
JP
Robience
Y
Y
D004038:Diet, Reducing; D004568:Electrodiagnosis / Q000379:methods; D006801:Humans; D007037:Hypothyroidism / Q000150:complications* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D010092:Oximetry; D012891:Sleep Apnea Syndromes / Q000209:etiology* / Q000628:therapy; D013963:Thyroid Hormones / Q000627:therapeutic use
D013963:Thyroid Hormones
Syndrome d'apnée du sommeil et hypothydroïdie: à propos d'un nouveau cas et revue de la littérature.