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World J Clin Cases. May 16, 2016; 4(5): 124-126
Published online May 16, 2016. doi: 10.12998/wjcc.v4.i5.124
Sleep-disordered breathing and stroke: A relation to be considered
Ridvan Alimehmeti, Arba Cecia, Arsen Seferi, Ermir Roci
Ridvan Alimehmeti, Arsen Seferi, Ermir Roci, Department of Neurology, Neurosurgery and Psychiatry, University Hospital Center “Mother Theresa”, 1001 Tirana, Albania
Arba Cecia, George Mason University, Virginia, VA 22030, United States
Author contributions: Alimehmeti R wrote the manuscript; Cecia A collected the materials and reviewed the manuscript; Seferi A supervised the publication of this commentary; Roci E discussed the topic.
Conflict-of-interest statement: The authors of this manuscript declare no conflicts of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ridvan Alimehmeti, MD, PhD, Associate Professor, Department of Neurology, Neurosurgery and Psychiatry, University Hospital Center “Mother Theresa”, Rr. Kongresi Manastirit, 270, 1001 Tirana, Albania. ridvanalimehmeti@hotmail.com
Telephone: +355-42-362641
Received: November 19, 2015
Peer-review started: November 20, 2015
First decision: December 28, 2015
Revised: January 8, 2016
Accepted: March 7, 2016
Article in press: March 9, 2016
Published online: May 16, 2016
Processing time: 145 Days and 8.7 Hours
Abstract

Stroke is a leading cause of death and disability. Despite expensive and elaborative research in finding out mechanisms of interrelation between sleep-disordered breathing (SDB) and stroke, there is yet much attention to be given in stroke units worldwide to the prompt diagnosis and treatment of SDB in order to improve morbidity and mortality rates related with stroke. The preventive diagnosis and treatment of SDB reduce stroke rate and improves penumbra area in case of ischemic stroke. Stroke itself predispose to SDB, making the interrelationship more complicated. The review by Parra O and Arboix A reflects the results from carefully selected reviews reported in the literature so far. This review of the literature and presentation of the original study of the Authors based on their patients’ data, enhances the conviction that there exists a direct relation between SDB and stroke. Diagnosis of SDB in new stroke cases should be sought and treated carefully whenever present.

Keywords: Sleep-disordered; Stroke; Hypertension; Penumbra; Breathing

Core tip: It is of paramount importance to search for a precocious diagnosis of sleep disordered breath (SDB) in newly diagnosed stroke patients in order to establish a prompt treatment. Treatment of SDB in newly diagnosed stroke patients prevent subsequent stroke episodes and lower the rate of morbidity and mortality. Penumbra zone benefits of a better recovery in case of prompt treatment of SDB in stroke. The review of the literature and presentation of the original study of Parra O and Arboix A enhances the conviction that there exist a direct relation between SDB and stroke.