Psychiatry Investig.  2010 Mar;7(1):75-78.

A Case of Obstructive Sleep Apnea Syndrome Presenting as Paradoxical Insomnia

• An H
• Chung S

Abstract

A 63-year-old female with obstructive sleep apnea syndrome (OSAS) presented with clinical features indistinguishable from paradoxical insomnia (PI). Her main complaint was chronic insomnia. Her subjective sleep latency was 2-3 h, subjective sleep time was less than 3 h, despite spending 8 h in bed, and she reported near constant awareness of her surroundings while lying in bed. Her body mass index (BMI) was 22.67 kg/m2, and her neck circumference was 34.5 cm. Nocturnal polysomnography (NPSG) findings indicated severe OSAS. Her total sleep time (TST) was 359 min, sleep latency 13 min, and her apnea/hypopnea index (AHI) was 74.6/h. The aim of this report is to evaluate the association between PI and OSAS cases confirmed by NPSG.

Keyword

Sleep apnea syndrome; Sleep state misperception; Nocturnal polysomnography

MeSH Terms

Body Mass Index
Deception
Female
Humans
Middle Aged
Neck
Polysomnography
Sleep Apnea Syndromes
Sleep Apnea, Obstructive
Sleep Wake Disorders, Intrinsic
Sleep Initiation and Maintenance Disorders