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Coexisting central and obstructive sleep apnea is a challenging clinical situation. We report a case exhibiting an overnight shift from obstructive to central events. The central sleep apnea component was related to sleep instability, hyperventilation and low nocturnal PaCO2. Both types of respiratory events were successfully treated with adaptive servoventilation.

Underlying Mechanisms for Coexisting Central and Obstructive Sleep Apnea: Nocturnal PaCO<sub>2</sub> and Poor Sleep Quality Are Key Issues