Acute delirium as a manifestation of obstructive sleep apnea syndrome.
Cognitive deficits and psychiatric manifestations such as depression and psychosis have been associated with obstructive sleep apnea (OSA) syndrome. We report a patient with OSA admitted to our center because of acute delirium of sudden onset at night, during sleep, and which impelled the patient to jump out of the window of his home. After exhaustive study, no other causes were found for the delirium, which resolved when nasal continuous positive airway pressure (nCPAP) was initiated. We believe that it is clinically important to be aware of this association, since it identifies a new, treatable cause of delirium.
Muñoz
X
X
Servei de Pneumologia, Servei de Neurologia, Hospital General Vall d'Hebron, Barcelona, Spain.
Martí
S
S
Sumalla
J
J
Bosch
J
J
Sampol
G
G
D000208:Acute Disease; D000368:Aged; D003072:Cognition Disorders / Q000209:etiology; D003221:Confusion / Q000209:etiology; D003693:Delirium / Q000209:etiology*; D003863:Depression / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011175:Positive-Pressure Respiration / Q000379:methods; D011595:Psychomotor Agitation / Q000209:etiology; D011618:Psychotic Disorders / Q000209:etiology; D012891:Sleep Apnea Syndromes / Q000150:complications* / Q000628:therapy