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©The Author(s) 2020.
World J Clin Cases. Dec 6, 2020; 8(23): 6150-6157
Published online Dec 6, 2020. doi: 10.12998/wjcc.v8.i23.6150
Published online Dec 6, 2020. doi: 10.12998/wjcc.v8.i23.6150
Table 1 Clinical features of the patient
A 39-year-old man, Han nationality |
Basic data |
Height, 168 cm; body weight, 86 kg; BMI, 30.4; blood pressure, 160/100 mmHg. No significant change in body weight occurred before and after the surgery |
Symptoms |
Snoring; apnea; labored breathing; occasional arousal; mental fatigue during the daytime; frequent hypersomnia; inability to work |
Sign |
Cyanotic lips; conjunctival congestion; mouth deviation to the left; and shallow nasolabial fold. The extended tongue was left-deflected. The tonsil was enlarged (grade I), and the body and base of the tongue and soft palate showed hypertrophy. The Friedman stage was type III. The muscle strength of the four limbs was normal. No dyspnea and three concave signs were noted. The Epworth hypersomnia scale (ESS) scored 21 points. The breath sounds of both lungs were clear, and the heart rhythm was regular. No pathological murmurs were heard |
History of disease |
No family history of CBT; No alcohol or tobacco; No previous history of hypertension or lung and cerebrovascular diseases. Previously, he had snoring and mouth breathing at night, but no apnea and arousal caused by labored breathing. He had a 10-yr history of anxiety, mania, and insomnia aggravated after CBT surgery |
Drugs |
Risperidone tablets (4 mg qd); sodium valproate (0.2 g bid); quetiapine (50 mg qd); and nifedipine sustained-release tablets (20 mg bid) |
Table 2 Polysomnography results
Polysomnography results | |
Sleep date: Ratio of each sleep stage/TST | |
T1 | 46.2% |
T2 | 31.2% |
T3 | 3.2% |
REM | 19.4% |
Apnea | |
AHI | 22.3 times/h |
Obstructive sleep apnea | 106 times; Maximum duration, 192 s |
Sleep microarousal index | 25.3 times/h |
SpO2 | |
Lowest awake SpO2 | 76% |
Lowest sleep SpO2 | 36% |
Total time of SpO2 below 90%/TST | 30.4% |
- Citation: Yang X, He XG, Jiang DH, Feng C, Nie R. Postoperative secondary aggravation of obstructive sleep apnea-hypopnea syndrome and hypoxemia with bilateral carotid body tumor: A case report. World J Clin Cases 2020; 8(23): 6150-6157
- URL: https://www.wjgnet.com/2307-8960/full/v8/i23/6150.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v8.i23.6150