Choking in the Night Due to NFLE Seizures in a Patient with Comorbid OSA | Zendy

Michele Terzaghi | Zendy; Ivana Sartori | Zendy; Riccardo Cremascoli | Zendy; Valter Rustioni | Zendy; Raffaele Manni | Zendy

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Choking in the Night Due to NFLE Seizures in a Patient with Comorbid OSA

Author(s) -

Michele Terzaghi,

Ivana Sartori,

Riccardo Cremascoli,

Valter Rustioni,

Raffaele Manni

Publication year - 2014

Publication title -

journal of clinical sleep medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.529

H-Index - 92

eISSN - 1550-9397

pISSN - 1550-9389

DOI - 10.5664/jcsm.4122

Subject(s) - choking , medicine , comorbidity , polysomnography , psychiatry , pediatrics , electroencephalography , anatomy

Awakenings from sleep with gasping and feeling of choking can be due to nocturnal frontal lobe epilepsy (NFLE) as well as sleep apnea (OSA). We describe the case of an overweight man, referred to us with suspected OSA and reporting awakenings from sleep accompanied by gasping and a choking feeling, which proved to be, after investigation, NFLE seizures in a patient with comorbid OSA. We underline that gasping or choking on awakening, especially when accompanied by abnormal motor-behavioral manifestations, should be interpreted with caution. Careful investigation by means of video-polysomnography is warranted in selected cases, including patients with a strong clinical suspicion of sleep apnea.

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