Esophageal foreign bodies causing obstructive sleep apnea in a patient with Sturge-Weber syndrome.
We report the case of a severely mentally handicapped 30-year-old woman with Sturge-Weber syndrome who developed obstructive sleep apnea syndrome (OSA) following esophageal aspiration of two foreign bodies, which were discovered incidentally during a neck CT scan. Initial polysomnography findings revealed significant OSA with an apnea-hypopnea index (AHI) of 40.8 events per hour. Repeat polysomnography following endoscopic removal of the foreign bodies revealed marked improvement of her OSA with a decrease of AHI to 15.6 events per hour. Our report highlights the importance of considering foreign body aspiration as a cause for OSA in mentally handicapped patients.
Watson
Nathaniel F
NF
Department of Neurology, Sleep Disorders Center, University of Washington, Seattle, WA 98104, USA. nwatson@u.washington.edu
Kapur
Vishesh
V
D000328:Adult; D004945:Esophagoscopy; D004947:Esophagus; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D017286:Polysomnography; D011175:Positive-Pressure Respiration; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013341:Sturge-Weber Syndrome / Q000150:complications*