Electroconvulsive therapy for depression in a patient with an Inspire hypoglossal nerve stimulator device for obstructive sleep apnea: A case report

ConclusionObstructive sleep apnea is a common disorder that causes significant reduction in quality of life and is an independent risk factor for multiple comorbidities. Electroconvulsive therapy is an established treatment for medication-refractory depression with minimal risk in most patient populations. This is the first report in the literature of a patient undergoing ECT for bipolar depression with recent activation of Inspire hypoglossal nerve stimulator who had no disruption in the function of his implanted device.
Source: American Journal of Otolaryngology - Category: Endocrinology Source Type: research

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ConclusionsThese three cases lend support to the hypothesis that chronic insomnia and obstructive sleep apnea share a pathophysiology of chronic stress. Among patients with obstructive sleep apnea, the stress response is directed at inspiratory airflow limitation during sleep (hypopnea, snoring, and inaudible fluttering of the throat). Therefore, when chronic insomnia and obstructive sleep apnea occur in one individual, aggressive treatment of obstructive sleep apnea may lead to a reduction in chronic stress that causes the patient ’s chronic insomnia to remit.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
Worldwide, approximately 1% to 4% of people suffer from bipolar disorder (BD). BD is a severe mental disorder ranking as the fourth most important contributor to the global disease burden among psychiatric, neurological and substance-use disorders (Collins et al., 2011; Merikangas et al., 2007). Whereas BD has traditionally been defined by recurrences of manic and depressive episodes, it is now recognized that BD patients also present with persistent abnormalities between mood episodes (such as cognitive deficits, cardio-vascular diseases, altered sleep homeostasis and circadian dysregulation), leading to conceptualization...
Source: Journal of Affective Disorders - Category: Neurology Authors: Tags: Research paper Source Type: research
Authors: Fehr BS, Katz WF, Van Enkevort EA, Khawaja IS Abstract Objective: To examine the correlations between obstructive sleep apnea (OSA) and psychiatric disorders such as major depressive disorder (MDD), posttraumatic stress disorder (PTSD), or bipolar disorder (BD) and whether comorbid psychiatric diagnosis increases the risk of OSA. Methods: This retrospective chart review study included all patients (N = 413) seen within a randomly selected 4-month period (August 2014 to November 2014) in a Veterans Administration outpatient psychiatry clinic. Patients were screened for symptoms of OSA with the STOP-BANG...
Source: The Primary Care Companion for CNS Disorders - Category: Primary Care Tags: Prim Care Companion CNS Disord Source Type: research
CONCLUSIONS: The presence of daytime sleepiness, unremitting despite the modification of treatment, indicates the need for diagnostic screening for OSA, which can mimic some of the symptoms of depression, increase the risk of complications during anesthesia, and can be one of the causes of drug resistance. In addition to the negative impact of obstructive sleep apnea on the course of bipolar disorder, OSA also causes significant cognitive impairment in terms of attention and vigilance, long-term semantic and visual memory as well as visual-spatial and executive functions. PMID: 28866718 [PubMed - in process]
Source: Psychiatria Polska - Category: Psychiatry Tags: Psychiatr Pol Source Type: research
Authors: Ferini-Strambi L, Sforza M, Poletti M, Giarrusso F, Galbiati A Abstract Excessive Daytime Sleepiness (EDS) is a common condition with a significant impact on quality of life and general health. A mild form of sleepiness can be associated with reduced reactivity and modest distractibility symptoms, but more severe symptomatic forms are characterized by an overwhelming and uncontrollable need to sleep, causing sudden sleep attacks, amnesia and automatic behaviors. The prevalence in the general population is between 10 and 25%. Furthermore, EDS has been considered a core symptom of obstructive sleep apnea (OS...
Source: Medicina del Lavoro - Category: Occupational Health Tags: Med Lav Source Type: research
I have Obstructive Sleep Apnea (OSA). I am also bipolar. Now which of the above statements shocked/ surprised you more? If I am guessing correctly the latter statement about my being bipolar came across as more of a shock/ surprise/ concern. Now what does that say about your own reactions to mental illness and your own involvement in perpetuating the stigma against mental illness? Embed from Getty Images Both of the above are chronic diseases to an extent. My OSA (snoring in popular parlance) cannot be treated by surgery, so the only viable option I have is to use a CPAP machine while sleeping to get a good night&rsq...
Source: The Mouse Trap - Category: Psychiatry & Psychology Authors: Tags: bipolar personal Bipolar disorder Mental disorder Mental health self-disclosure Source Type: podcasts
CONCLUSIONS: BD are defined by several sleep and circadian rhythm abnormalities during all phases of the disorder. These abnormalities and disorders, especially during remitted phases, should be characterized and diagnosed to reduce mood relapses, treatment resistance and improve BD outcomes. PMID: 27669996 [PubMed - as supplied by publisher]
Source: L Encephale - Category: Psychiatry Tags: Encephale Source Type: research
Sleep is essential to the maintenance of mental health. Sleep helps to regulate mood and process emotional information and experiences into memory. Insufficient sleep is associated with increased emotional reactivity and emotional disturbance. Research indicates that REM sleep may play an especially significant role in maintaining emotional well-being and psychological balance. Sleep problems occur substantially more frequently in people with psychiatric conditions than in the general population. Often, sleep and mental health disorders exist in bi-directional relationship to each other, with each condition influencing the...
Source: Psych Central - Category: Psychiatry Authors: Tags: Anxiety Attention Deficit Disorder Bipolar Depression Disorders General Panic Disorder Psychology PTSD Schizophrenia Sleep Adhd Attention Deficit Hyperactivity Disorder Bipolar Disorder Emotional Disturbance emotional reactiv Source Type: news
Obstructive sleep apnea (OSA) is a health hazard since it is associated with neurocognitive dysfunction and cardio-metabolic diseases. The prevalence of OSA among people with serious mental illness (SMI) is unclear.
Source: Journal of Affective Disorders - Category: Neurology Authors: Tags: Review article Source Type: research
Authors: Szaulińska K, Pływaczewski R, Sikorska O, Holka-Pokorska J, Wierzbicka A, Wichniak A, Śliwiński P Abstract The prevalence of obstructive sleep apnoea (OSA) is estimated to be 3-7.5% in men and 2-3% in women. In mentally ill population it is even higher, as these patients are a high risk OSA group. The aim of the paper was a review of literature about the prevalence of sleep apnoea in patients with schizophrenia, bipolar disorder and recurrent depressive disorder.The available data show that OSA is present in 15-48% of patients with schizophrenia, 21-43% of patients with bipolar disorder and 11-18% of p...
Source: Psychiatria Polska - Category: Psychiatry Tags: Psychiatr Pol Source Type: research
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