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Obstructive sleep apnea is frequent in patients with hypertensive intracerebral hemorrhage and is related to perihematoma edema.
- Source :
-
Cerebrovascular diseases (Basel, Switzerland) [Cerebrovasc Dis] 2010; Vol. 29 (1), pp. 36-42. Date of Electronic Publication: 2009 Nov 05. - Publication Year :
- 2010
-
Abstract
- Background: Obstructive sleep apnea (OSA) is related to increased systemic inflammation and arterial hypertension. We hypothesize that OSA is frequent in patients with acute hypertensive intracerebral hemorrhage (ICH) and is related to the perihematoma edema.<br />Methods: Thirty-two non-comatose patients with a hypertensive ICH underwent polysomnography in the acute phase. Perihematoma edema volume was measured on CT scans at admission, after 24 h (early control) and after 4-5 days (late control). The Spearman coefficient (r(s)) was used for correlations.<br />Results: OSA occurred in 19 (59.4%) patients. The apnea-hypopnea index was correlated with relative edema at admission CT (r(s) = 0.40; p = 0.031), early CT (r(s) = 0.46; p = 0.011) and at late CT (r(s) = 0.59; p = 0.006).<br />Conclusions: OSA is highly frequent during the acute phase of hypertensive ICH and is related to perihematoma edema.
- Subjects :
- Acute Disease
Aged
Brain Edema diagnostic imaging
Female
Hematoma diagnostic imaging
Humans
Intracranial Hemorrhage, Hypertensive diagnostic imaging
Logistic Models
Male
Middle Aged
Odds Ratio
Polysomnography
Prospective Studies
Risk Assessment
Risk Factors
Severity of Illness Index
Sleep Apnea, Obstructive diagnosis
Time Factors
Tomography, X-Ray Computed
Brain Edema etiology
Hematoma etiology
Intracranial Hemorrhage, Hypertensive complications
Sleep Apnea, Obstructive etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1421-9786
- Volume :
- 29
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Cerebrovascular diseases (Basel, Switzerland)
- Publication Type :
- Academic Journal
- Accession number :
- 19893310
- Full Text :
- https://doi.org/10.1159/000255972