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Am. J. Respir. Crit. Care Med., Volume 158, Number 4, October 1998, 1306-1307

Acute Delirium as a Manifestation of Obstructive Sleep Apnea Syndrome

XAVIER MUÑOZ, SERGI MARTÍ, JORDI SUMALLA, JOSEP BOSCH, and GABRIEL SAMPOL

Servei de Pneumologia, Servei de Neurologia, Hospital General Vall d'Hebron, Barcelona, Spain

Cognitive deficits and psychiatric manifestations such as depression and psychosis have been associated with obstructive sleep apnea (OSA) syndrome. We report a patient with OSA admitted to our center because of acute delirium of sudden onset at night, during sleep, and which impelled the patient to jump out of the window of his home. After exhaustive study, no other causes were found for the delirium, which resolved when nasal continuous positive airway pressure (nCPAP) was initiated. We believe that it is clinically important to be aware of this association, since it identifies a new, treatable cause of delirium.




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