title: A 51-Year-Old Woman With Hypoacusia and Increased Respiratory Effort in the Supine Position and OSA.
abstract: A 51-year-old woman with a personal history of vitiligo, normal thyroid hormone studies, a simple hysterectomy for multiple uterine myomas at age 35 years, and childhood adenotonsillectomy was seen for progressive hearing loss. She reported mild asthenia, cold intolerance, mild dysphagia with frequent choking while eating and drinking, and a progressive increase in inspiratory effort, especially in the supine position. Her partner described a progressively worsening history of snoring and witnessed apneic episodes, mostly in the supine position. Mild to moderate daytime sleepiness was also present.
authors: Oral and Maxillofacial Surgery Department and Sleep Disorders Department, Araba University Hospital, Vitoria-Gasteiz, Spain. Electronic address: marcosfbarriales@gmail.com.
authors: Marcos
authors: M
authors: Fernández-Barriales
authors: Oral and Maxillofacial Surgery Department, Araba University Hospital, Vitoria-Gasteiz, Spain.
authors: Virginia
authors: V
authors: Vázquez Marcos
authors: Sleep Disorders Department, Araba University Hospital, Vitoria-Gasteiz, Spain.
authors: Ainhoa
authors: A
authors: Álvarez
authors: Otorhinolaringology Department, Araba University Hospital, Vitoria-Gasteiz, Spain.
authors: Beatriz
authors: B
authors: Odriozola
authors: Oral and Maxillofacial Surgery Department, Araba University Hospital, Vitoria-Gasteiz, Spain.
authors: Juan
authors: J
authors: Alonso
authors: Sleep Disorders Department, Araba University Hospital, Vitoria-Gasteiz, Spain.
authors: Carlos
authors: C
authors: Egea Santaolalla
mesh_terms: D013956:Antithyroid Agents / Q000627:therapeutic use; D005260:Female; D006044:Goiter, Nodular / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D034381:Hearing Loss / Q000209:etiology; D006801:Humans; D006980:Hyperthyroidism / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D046151:Lingual Thyroid / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008713:Methimazole / Q000627:therapeutic use; D008875:Middle Aged; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D020181:Sleep Apnea, Obstructive / Q000209:etiology* / Q000601:surgery; D013670:Sodium Pertechnetate Tc 99m; D016683:Supine Position; D014057:Tomography, X-Ray Computed
chemical_list: D013956:Antithyroid Agents; D019275:Radiopharmaceuticals; D008713:Methimazole; D013670:Sodium Pertechnetate Tc 99m