Persistent Low Oxygen Saturation on Polysomnogram

s le e P m e d iC in e P e a r ls A 61-year-old woman with past medical history of restless legs syndrome, and hypothyroidism presents for evaluation of snoring. Her medications include pramipexole 0.25 mg taken at 9 PM, clonazepam 0.5 mg daily, and desiccated thyroid 120 mg daily. She goes to bed at 10 PM, wakes up at 6 AM unrefreshed, and takes two brief daytime naps. Review of systems is negative for headaches, visual changes, nasal congestion, sore throat, shortness of breath, wheezing, chest pain, palpitations, abdominal pain, numbness, or weakness. Her Epworth Sleepiness Scale score is 12/24, and body mass index is 26 kg/m2. Physical examination revealed enlarged inferior nasal turbinates bilaterally Persistent low oxygen saturation on Polysomnogram