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Postgraduate Education Corner Contemporary Reviews In Sleep Medicine| Volume 136, ISSUE 6, P1668-1677, December 01, 2009

Obstructive Sleep Apnea and Stroke

  • Mark Eric Dyken
    Correspondence
    Correspondence to: Mark Eric Dyken, MD, Associate Professor of Neurology, Director, Sleep Disorders Center and Clinical Neurophysiology and Sleep Medicine Fellowship Programs, University of Iowa Hospitals and Clinics, Department of Neurology, 200 Hawkins Dr, Iowa City, IA 52242
    Affiliations
    Sleep Disorders Center, the Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA
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  • Kyoung Bin Im
    Affiliations
    Sleep Disorders Center, the Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA
    Search for articles by this author
      Obstructive sleep apnea (OSA) and stroke are frequent, multifactorial entities that share risk factors, and for which case-control and cross-sectional studies have shown a strong association. Stroke of respiratory centers can lead to apnea. Snoring preceding stroke, documentation of apneas immediately prior to transient ischemic attacks, the results of autonomic studies, and the circadian pattern of stroke, suggest that untreated OSA can contribute to stroke. Although cohort studies indicate that OSA is a stroke risk factor, controversy surrounds the cost-effectiveness of the screening for and treatment of OSA once stroke has occurred.
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