J Sleep Med.
2016 Jun;13(1):28-30. 10.13078/jsm.16005.
Sleep-Related Laryngospasm Caused by Gastroesophageal Reflux
- Affiliations
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- 1Mackenzie Hwamyung Ilsin Christian Medical Center, Busan, Korea.
- 2Department of Neurology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. kihwanji@gmail.com
- KMID: 2328847
- DOI: http://doi.org/10.13078/jsm.16005
Abstract
- Sleep-related laryngospasm is a rare cause of sleep-related breathing disturbance which produce stridor or interruption of airflow associated with a distinct polysomnography arousal pattern. We report a case of a sixty-five-year-old woman who was referred for awakenings with abrupt respiratory distress and fear of suffocation. A polysomnography showed a total or near-total cessation of airflow, followed by choking and stridor for several minutes with a rapid increase in heart rate. Temporary hoarseness was seen. The esophageal pH monitoring indicated acid reflux, which confirmed gastroesophageal reflux disease. The protonpump inhibitor eliminated the sleep-related laryngospasm.
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