title: Positional central apnea and vascular medullary compression.
abstract: A 66-year-old man with hypertension presented with complaints of excessive daytime sleepiness (Epworth Sleepiness Score 14/24), dyspnea upon exertion, and episodes of noninjurious dream-enacting behavior. He reported tongue biting when sleeping in the right lateral decubitus position. Medications included atenolol 12.5 mg, lovastatin 20 mg, doxazosin 2 mg, amlodipine 5 mg, isosorbide mononitrate 60 mg, and aspirin 81 mg. He denied headaches, visual changes, dysarthria, dysphagia, or localized weakness. He denied use of alcohol, tobacco, or drugs.
authors.affiliation: Department of Neurology, Division of Sleep Medicine, Louisiana State University School of Medicine, Shreveport, LA, USA.
authors.forename: Lourdes
authors.initials: L
authors.lastname: DelRosso
authors.forename: Eduardo
authors.initials: E
authors.lastname: Gonzalez-Toledo
authors.forename: Andrew L
authors.initials: AL
authors.lastname: Chesson
authors.forename: Romy
authors.initials: R
authors.lastname: Hoque
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D008526:Medulla Oblongata / Q000098:blood supply / Q000473:pathology*; D011187:Posture; D020182:Sleep Apnea, Central / Q000175:diagnosis* / Q000209:etiology; D061205:Vascular Calcification / Q000150:complications / Q000175:diagnosis*; D014711:Vertebral Artery / Q000473:pathology*