Chronic insomnia remitting after maxillomandibular advancement for mild obstructive sleep apnea: a case series

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