The Symptoms and Signs of Upper Airway Resistance Syndrome

Gold, Avram R.; Dipalo, Francis; Gold, Morris S.; O’Hearn, Daniel

doi:10.1378/chest.123.1.87

Cited by 128 publications

(69 citation statements)

References 25 publications

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“…PSG referral based on insomnia referral type seems to indicate that physicians are more concerned to seek out a cause for insomnia before asserting that the patient's complaint is primary insomnia. Additionally, our results show more clinical emphasis on the relation between insomnia and SDB, as reported in the literature (33)(34)(35). Some patients who were referred to centers because of insomnia complaint may have what is described as a syndrome of "hidden" sleep apnea (36), in which night awakenings and the tendency for sleep to become more superficial lead to complaints of insomnia, and when the aggravation of OSAHS leads to decreased somatic syndrome, including insomnia (33,35).…”

Section: Discussionsupporting

confidence: 72%

Repercussions of a sleep medicine outreach program

Conway

Tufik

Filho

et al. 2006

Braz J Med Biol Res

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Section: Discussionsupporting

confidence: 72%

Repercussions of a sleep medicine outreach program

Conway

Tufik

Filho

et al. 2006

Braz J Med Biol Res

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“…In various studies with larger subject numbers, no association between FMS and SDB has been observed [33][34][35][36]. But the symptoms reported by patients with SDB are known to be similar to those of patients with FMS, except diffuse musculoskeletal pain and pain at tender points, so this may be the explanation of high rates [23]. There may be another explanation that patients with OSAS can also present FMS [7, 24-26, 37, 38].…”

Section: Discussionmentioning

confidence: 99%

“…Except for diffuse musculoskeletal pain and pain at tender points, the symptoms reported by patients with SDB are similar to those of patients with FMS [23]. Patients with OSAS can also present FMS, however SDB, narcolepsy, and leg movement disorders are considered as uncommon causes of medically unexplained fatigue or pain syndromes [24][25][26].…”

Section: Introductionmentioning

confidence: 99%

STOP-Bang Test Results of a Randomly Selected Group of Fibromyalgia Patients

Ilhanli¹

2016

AJCEM

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Except for diffuse musculoskeletal pain and pain at tender points, the symptoms reported by patients with Obstructive sleep apnea syndrome (OSAS) are similar to those of patients with fibromyalgia syndrome (FMS). Patients with OSAS can also present FMS. STOP-Bang test is an effective scale which was developed to identify the patients with OSAS. The aim of this study was to evaluate the probable correlation between symptom severity of FMS and STOP-Bang test. Thirty one patients were included in the study. Demographic data including gender, age, body mass index and concomitant diseases are recorded. Musculoskeletal and neurologic examination, measurement of neck circumference and limitation of cervical range of motion were performed. Also MRI findings were recorded as decreased cervical lordosis, spondylosis and discopathy. STOP-Bang test was applied. Beside this test presence of snoring and fatigue were asked again separately. Fibromyalgia Impact Questionnaire (FIQ) was applied. Results of FIQ including total score, visual analog scale for pain (VAS pain) and fatigue (VAS fatigue) were recorded. Twenty five patients (80,6%) were female and 6 patients (19,4%) were male. Neck circumference of male patients was significantly higher than the females (p<0,05). All patients were complaining of fatigue, and 61,3% reported snoring. According to the STOP-Bang test high risk of OSAS was found in 54,8% of the patients (5 males and 12 females). There was significant and positive correlation between snoring and VAS pain, VAS fatigue, FIQ score and high risk of OSAS (p<0,01). Correlations between high risk of OSAS and VAS pain, VAS fatigue and FIQ score (p<0,01) were significant, as well as the correlations between high risk of OSAS and limitation of cervical rotation, and presence of cervical discopathy and decreased cervical lordosis (p<0,05). Although it does not imply a cause and effect relationship, the association between FMS and OSAS is clear. Physicians should keep in mind the presence of OSAS among patients with FMS, especially in male patients. STOP-Bang test is an effective co-examination to predict the risk level of OSAS which is correlated with snoring. Only asking presence of snoring can substitute for STOP-Bang test to refer these patients for the examination of upper airways.

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“…As in OSAS, snoring is a common symptom, predominantly in males, although the absence of snoring has also been described in this syndrome, the so-called silent UARS (Kristo 2005). In recent years, several studies have demonstrated strong associations between UARS and functional somatic syndromes, such as chronic fatigue syndrome, chronic insomnia, chronic pain, irritable bowel syndrome, fibromyalgia, depression, parasomnias and posttraumatic stress disorders (Gold 2003(Gold , 2011. Due to its association with chronic somatic diseases, UARS has been postulated to activate the hypothalamicpituitary-adrenal axis (HPA) (Gold 2010), although not all studies support the association of sleep disordered breathing with these somatic functional disorders.…”

Section: Symptomsmentioning

confidence: 99%