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위식도역류로 인한 수면관련성대문연축

Sleep-Related Laryngospasm Caused by Gastroesophageal Reflux

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초록

Sleep-related laryngospasm is a rare cause of sleep-related breathing disturbance which produce stridor or interruption of airflow associated with a distinct polysomnography arousal pattern. We report a case of a sixty-five-year-old woman who was referred for awakenings with abrupt respiratory distress and fear of suffocation. A polysomnography showed a total or near-total cessation of airflow, followed by choking and stridor for several minutes with a rapid increase in heart rate. Temporary hoarseness was seen. The esophageal pH monitoring indicated acid reflux, which confirmed gastroesophageal reflux disease. The protonpump inhibitor eliminated the sleep-related laryngospasm

Abstract

Sleep-related laryngospasm is a rare cause of sleep-related breathing disturbance which produce stridor or interruption of airflow associated with a distinct polysomnography arousal pattern. We report a case of a sixty-five-year-old woman who was referred for awakenings with abrupt respiratory distress and fear of suffocation. A polysomnography showed a total or near-total cessation of airflow, followed by choking and stridor for several minutes with a rapid increase in heart rate. Temporary hoarseness was seen. The esophageal pH monitoring indicated acid reflux, which confirmed gastroesophageal reflux disease. The protonpump inhibitor eliminated the sleep-related laryngospasm

참고문헌 (8)

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  3. Murray RC, "Epileptic laryngospasm presenting as a primary sleep disturbance", Arch Otolaryngol Head Neck Surg, 136, pp.1025~1027 (2010)
  4. Aloe FS, "Sleep-related laryngospasm", Arq Neuropsiquiatr, 53, pp.46~52 (1995)
  5. Thurnheer R, "Sleep-related laryngospasm", Eur Respir J, 10, pp.2084~2086 (1997)
  6. Roland MM, "Sleep-related laryngospasm caused by gastroesophageal reflux", Sleep Med, 9, pp.451~453 (2008)
  7. Iriarte J, "Sleeprelated laryngospasm: a video-polysomnographic recording", Epileptic Disord, 8, pp.70~72 (2006)
  8. Fass R, "Review article : supra-oesophageal manifestations of gastro-oesophageal reflux disease and the role of night-time gastro-oesophageal reflux", Aliment Pharmacol Ther, 20(Suppl 9), pp.26~38 (2004)

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