Prolonged Sleep Apnea in Two Patients with a History of Opium Abuse-A Case Report

• Main Authors: Hadi Asadpour, Seyede Maryam Naghibi, Sadegh Rahimi, Amir Sharafkhaneh, Lahya Afshari Saleh, Fariborz Rezaee Talab, Mahnaz Amini, Faezeh Nikzad
• Format: Article
• Language: English
• Published: Mashhad University of Medical Sciences 2020-03-01
• Series: Iranian Journal of Otorhinolaryngology
• Subjects: microarousal; opium; obstructive sleep apnea (osa); sleep apnea; sleep-disordered breathing (sdb)
• Online Access: https://ijorl.mums.ac.ir/article_14942_e965e278877a58ad4966ad726bca4ade.pdf

Introduction: Obstructive sleep apnea (OSA) is a highly prevalent sleep-disordered breathing (SDB).   Case Report: Two 53- and 51-year-old male cases with daytime sleepiness and opium abuse and severe sleep apnea and long respiratory events duration (200 and 275 seconds respectively) noted in polysomnography were reported at Ebn-e-Sina and Razavi hospitals, in Mashhad, Iran. After positive airway pressure (PAP) therapy respiratory events resolved and patients’ daytime alertness improved.    Conclusion: The long duration of sleep apnea could be the result of opium abuse. Therefore, drug history should be carefully considered in the evaluation of SDB patients. The PAP device was effective in the management of sleep respiratory events and the improvement of patient’s complications