A 42-year-old man was evaluated for snoring and sleep apnea. Overnight polysomnography revealed 28 events per hour on the apnea–hypopnea index. To determine the site of obstruction and determine treatment, dynamic MRI with concurrent EEG monitoring in natural sleep was performed. We recorded 2 mechanisms of total occlusion: at the oropharyngeal level and due to movement of the uvula during snoring (videos 1 and 2).1 Two different mechanisms suggested against surgical therapy; he was treated with a continuous positive airway pressure mask at 7 cm H2O, with a good outcome.
Footnotes
Supplemental data at www.neurology.org
Author contributions: Dr. Kavcic: study concept or design, analysis or interpretation of data, drafting or revising the manuscript. Dr. Koren: study concept or design, analysis or interpretation of data. Dr. Koritnik: study concept or design. Dr. Dolenc Groselj: study concept or design, drafting or revising the manuscript, study supervision.
Study funding: No targeted funding reported.
Disclosure: The authors report no disclosures relevant to the manuscript. Go to Neurology.org for full disclosures.
- © 2013 American Academy of Neurology
Disputes & Debates: Rapid online correspondence
REQUIREMENTS
If you are uploading a letter concerning an article:
You must have updated your disclosures within six months: http://submit.neurology.org
Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment.
If you are responding to a comment that was written about an article you originally authored:
You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid
and apply to letter.
Submission specifications:
- Submissions must be < 200 words with < 5 references. Reference 1 must be the article on which you are commenting.
- Submissions should not have more than 5 authors. (Exception: original author replies can include all original authors of the article)
- Submit only on articles published within 6 months of issue date.
- Do not be redundant. Read any comments already posted on the article prior to submission.
- Submitted comments are subject to editing and editor review prior to posting.