title: Sexsomnia and REM- predominant obstructive sleep apnea effectively treated with a mandibular advancement device.
abstract: Parasomnias with sexual behavior or sexsomnias are considered a subtype of NREM parasomnias. Obstructive sleep apnea/hypopnea (OSAH) has been described as a known triggering factor for parasomnias including sexsomnia. Nasal continuous positive airway pressure (nCPAP) has been the standard of treatment for OSAH but mandibular advancement devices (MAD) are becoming an important treatment alternative. We present the case of a patient with mild OSAH and sexsomnia who had resolution of both conditions with a MAD. This patient had the added uniqueness of having REM-predominant OSAH.
authors.affiliation: Portuguese Association of Chronobiology and Sleep Medicine; Autonomic Function Group, Cardiovascular Center of Lisbon University, Portugal.
authors.forename: Miguel
authors.initials: M
authors.lastname: Meira E Cruz
authors.affiliation: Sleep Care Center, HealthEast Care System, St. Paul, MN, United States.
authors.forename: Rodolfo
authors.initials: R
authors.lastname: Soca
keywords: AHI, apnea/hypopnea index; CPAP, continuous positive airway pressure; Dental device; ESS., Epworth Sleepiness Scale; MAD, mandibular advancement device; NREM, non-rapid eye movement; OSAH, obstructive sleep apnea/hypopnea; Obstructive sleep apnea; PSG, polysomnography; Parasomnia; REM, rapid eye movement; vPSG, video polysomnography