title: Treatment of obstructive sleep apnea syndrome associated with stroke.
abstract: The association between sleep-disordered breathing and stroke has been a subject of increased interest and research. Obstructive sleep apnea (OSA) is an important risk factor for stroke incidence and mortality. Moreover, OSA is a common clinical outcome after stroke, directly influencing the patient's recovery. The treatment of choice for OSA is positive airway pressure (PAP) support and the PAP appliance is considered the most recommended clinical management for the treatment of patients with cardiovascular complications. However, the implementation of PAP in stroke patients remains a challenge, considering the increased frequency of motor and language impairments associated with the cerebrovascular event. In the present study, we reviewed the main findings describing the association between stroke and OSA treatment with continuous positive airway pressure. We also discussed the types of OSA treatment, the different options and indications of PAP treatment, PAP adherence and the clinical outcomes after treatment.
authors.affiliation: Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
authors.forename: Luciane
authors.initials: L
authors.lastname: Mello-Fujita
authors.affiliation: Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
authors.forename: Lenise Jihe
authors.initials: LJ
authors.lastname: Kim
authors.affiliation: Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
authors.forename: Luciana de Oliveira
authors.initials: Lde O
authors.lastname: Palombini
authors.affiliation: Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
authors.forename: Camila
authors.initials: C
authors.lastname: Rizzi
authors.affiliation: Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
authors.forename: Sergio
authors.initials: S
authors.lastname: Tufik
authors.affiliation: Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
authors.forename: Monica Levy
authors.initials: ML
authors.lastname: Andersen
authors.affiliation: Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil; Departamento de Neurologia e Neurocirurgia, Universidade Federal de São Paulo, São Paulo, Brazil. Electronic address: fernandomorgadinho@hotmail.com.
authors.forename: Fernando Morgadinho
authors.initials: FM
authors.lastname: Coelho
mesh_terms: D006801:Humans; D010349:Patient Compliance; D011175:Positive-Pressure Respiration / Q000379:methods*; D012307:Risk Factors; D020181:Sleep Apnea, Obstructive / Q000209:etiology* / Q000628:therapy*; D020521:Stroke / Q000150:complications*; D016896:Treatment Outcome
keywords: APAP; Bilevel PAP; CPAP; CPAP adherence; Obstructive sleep apnea syndrome; Stroke