Symptoms Underestimate the Presence of Obstructive Sleep Apnea in Patients with Spontaneous Cerebrospinal Fluid Leaks of the Temporal Bone

Rama Chidambaram, Thomas Hendriks, Scott Phung, Jafri Kuthubutheen

Research output: Contribution to journalArticlepeer-review

Abstract

Objective To determine the severity of symptoms and degree of obstructive sleep apnea (OSA) in patients with spontaneous cerebrospinal fluid (sCSF) leaks of the temporal bone given the known association between sCSF leaks and OSA. Study Design Retrospective case review. Setting Ambulatory clinics in tertiary referral centers. Patients Polysomnogram testing in 34 consecutive patients who had been diagnosed with sCSF leaks of the temporal bone was examined. Diagnosis of sCSF leak was defined as biochemically confirmed CSF from middle ear fluid with no other obvious source. Intervention Diagnostic. Main Outcomes Measure(s) Patient characteristics (age, sex, body mass index, Epworth Sleepiness Scale score, presence of hypoxia, overnight change in blood pressure, and apnea hypopnea index [AHI]) were recorded. Diagnosis of OSA was defined as mild when AHI ≥5 and
Original languageEnglish
Pages (from-to)E1194-E1199
JournalOtology and Neurotology
Volume43
Issue number10
DOIs
Publication statusPublished - 1 Dec 2022

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