Author/Authors :
Asadpour, Hadi Fellowship of Sleep Medicine- Psychiatry and Behavioral Sciences Research Center-Mashhad University of Medical Sciences, Mashhad , Naghibi, Maryam Psychiatrist, Psychiatry and Behavioral Sciences Research Center- Mashhad University of Medical Sciences, , Rahimi, Sadegh Neuroscience Research Center, Mashhad University of Medical Sciences, Mashhad, Iran, and Department of Pharmacology- Medical University Innsbruck, Innsbruck, Austria , Sharafkhaneh, Amir Department of Medicine at Baylor College of Medicine- VAMC Sleep Center, Houston, Tm , Afshari Saleh, Lahya Occupational Medicine- Psychiatry and Behavioral Sciences Research Center-Mashhad University of Medical Sciences, Mashhad , Rezaee Talab, Fariborz 6Department of Neurological Diseases- School of Medicine- Mashhad University of Medical Sciences, Mashhad , Amini, Mahnaz Lung Disease Research Center- School of Medicine- Mashhad University of Medical Sciences, Mashhad , Nikzad, Faezeh Psychiatrist, Psychiatry and Behavioral Sciences Research Center- Mashhad University of Medical Sciences,
Abstract :
Introduction:
Obstructive sleep apnea (OSA) is a highly prevalent sleep-disordered breathing (SDB).
Case Report:
Two 53- and 51-year-old male cases with daytime sleepiness and opium abuse and severe sleep apnea
and long respiratory events duration (200 and 275 seconds respectively) noted in polysomnography
were reported at Ebn-e-Sina and Razavi hospitals, in Mashhad, Iran. After positive airway pressure
(PAP) therapy respiratory events resolved and patients’ daytime alertness improved.
Conclusion:
The long duration of sleep apnea could be the result of opium abuse. Therefore, drug history should be
carefully considered in the evaluation of SDB patients. The PAP device was effective in the
management of sleep respiratory events and the improvement of patient’s complications.
Keywords :
Sleep-disordered breathing (SDB) , Microarousal , Opium , Obstructive sleep apnea (OSA) , Sleep Apnea
