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10 Possible Causes for Cor Pulmonale, Reduced Sleep Latency, Somnolence

  • Obstructive Sleep Apnea

    These abnormalities include reduced total sleep time, reduced REM sleep, prolonged REM latency, and increased number of arousals; these abnormalities are independent of seizures[] Neither patient exhibited daytime somnolence, although both were subsequently found to have severe obstructive sleep apnea.[] References: [14] [15] Complications Hypertension Hypoxia -induced cardiac arrhythmia Pulmonary hypertension and cor pulmonale Global respiratory insufficiency Cardiac infarction[]

  • Sleep Apnea

    MWT sleep latencies, gross sleep architecture, and overnight oxygenation parameters were unchanged from baseline in any treatment group.[] In epilepsy patients with risk factors (eg, obesity) or markers (eg, habitual snoring, daytime somnolence) for sleep apnea, a careful sleep history should be elicited and[] Vol 8, No 3 (Autumn 2009) Introduction Cor pulmonale has a well-described association with chronic respiratory diseases such as chronic obstructive pulmonary disease (COPD[]

  • Central Sleep Apnea

    Patients with hypercapnic forms may experience daytime somnolence (sometimes called wake-time sleepiness), lethargy, and morning headache.[] This can lead to cor pulmonale (right-sided heart failure). Call your provider if you have symptoms of this disorder.[] Gastaut and his collaborators in their report on the abnormal breathing patterns observed in a subtype of so-called "Pickwickian patients," morbidly obese subjects with somnolence[]

  • Prader-Willi Syndrome

    […] arousal, abnormal circadian rhythm in REM sleep, reduced REM latency, and abnormal response to hypercapnia 26, 27 as well as excessive daytime sleepiness.[] . • Central nervous system and endocrine gland dysfunction: causing varying degrees of learning disability, short stature, hyperphagia, somnolence (excessive sleepiness),[] Psychosis Secondarily acquired diseases (cor pulmonale, diabetes mellitus) Diagnosis is established with the help of the following investigations.[]

  • Hypersomnia

    Polysomnography revealed findings consistent with PH: normal sleep time, good sleep efficiency and reduced Mean Sleep Latency.[] 2015 ICD-9-CM Diagnosis Code 327.1 Organic disorder of excessive somnolence [organic hypersomnia] There are 7 ICD-9-CM codes below 327.1 that define this diagnosis in greater[] Contra indications- Moderate to severe uncontrolled hypertension, arrhythmia, cor pulmonale.[]

  • Ondine Syndrome

    Alternatively, patients with CCHS could be more isolated from noises and external disturbances that prolong sleep onset latency.[] […] pCO2 and decrease in pO2 CBC: polycythemia EMG/NCV: normal Clinical (asymptomatic or insidious onset) Dyspnea: uncommon Fatigue/ lethargy Disturbed sleep Excessive daytime somnolence[] This female patient, without cor pulmonale, was a good candidate for diaphragm pacing.[]

  • Narcolepsy-Cataplexy Syndrome

    Abnormalities in sleep physiology have been reported including: reduced percentage of rapid eye movement (REM) sleep and decreased non-rapid eye movement (NREM) sleep instability[] He developed severe daytime somnolence and cataplexy over the course of a few months.[] Pagina 574 - Long term domiciliary oxygen therapy in chronic hypoxic cor pulmonale complicating chronic bronchitis and emphysema. ‎[]

  • Parasomnia Type Sleepwalking

    Melatonin reduces sleep-onset latency and shifts circadian rhythms to an earlier time in delayed sleep phase disorder.[] Viola-Saltzman said that, in addition to screening patients for snoring, apneic spells, disrupted sleep and daytime somnolence, physicians "may also consider asking about[] pulmonale. 6, 17 – 20, 52, 53 Adenotonsillectomy is the primary treatment for OSA in children ( Table 3 ). 13, 18 Following adenotonsillectomy, postoperative polysomnography[]

  • Narcolepsy 3

    3 years after a narcolepsy diagnosis confirmed by a multiple sleep latency test, and the total medical and pharmacy costs remained relatively stable over that period.[] 0002524 4 narcolepsy 32 HP:0030050 5 hypnagogic hallucinations 32 HP:0002519 6 paroxysmal drowsiness 32 HP:0002330 UMLS symptoms related to Narcolepsy 3: excessive daytime somnolence[] Pulmonale, Inferior Myocardial Infarction, Cor Pulmonale, Constrictive Pericarditis, Systolic Heart Failure, Central Sleep Apnea, Pulmonary Edema, Third-Degree Atrioventricular[]

  • Ptosis - Vocal Cord Paralysis Syndrome

    This study demonstrated markedly reduced initial sleep latency of 30 s, and a normal latency to rapid eye movement (RE M) sleep of 112 min.[] Cor pulmonale (nonacute) documented by both: 1. Right ventricular enlargement (or prominence of the right outflow tract) on chest roentgenogram or fluoroscopy; AND 2.[] […] hypertropia and extortion left medial longitudinal fasciculus (MLF) - causes left INO Larger infarcts that involve midbrain reticular formation signs impaired conciousness somnolence[]

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