Within non-rapid eye movement sleep, two complementary modalities of arousal organization may be identified: (1) the cyclic alternating pattern (CAP), correlated with successive upward (phase A) and downward (phase B) fluctuations of arousal and arousal-related vegetative functions, and (2) non-CAP, corresponding to a relative stability of arousal and vegetative activities. In a 62-year-old overweight and heavily snoring man, complaining of excessive daytime sleepiness, three consecutive polysomnograms displayed a highly frequent occurrence of nocturnal apneas (apnea index: 15), mostly obstructive and mixed, limited to non-rapid eye movement sleep stages 1 and 2. The apneic episodes, that never occurred during non-CAP, exclusively appeared during the inhibitory phase B of CAP, whereas the following breathing resumption was mainly induced by an activating phase A pattern. The crucial effect of arousal instability on respiratory control is emphasized.

Modifications of cyclic alternating pattern in sleep apnea syndrome / Terzano, Mario Giovanni; Parrino, Liborio; M. C., Spaggiari. - In: EUROPEAN NEUROLOGY. - ISSN 0014-3022. - 30:(1990), pp. 235-240.

Modifications of cyclic alternating pattern in sleep apnea syndrome.

TERZANO, Mario Giovanni;PARRINO, Liborio;
1990-01-01

Abstract

Within non-rapid eye movement sleep, two complementary modalities of arousal organization may be identified: (1) the cyclic alternating pattern (CAP), correlated with successive upward (phase A) and downward (phase B) fluctuations of arousal and arousal-related vegetative functions, and (2) non-CAP, corresponding to a relative stability of arousal and vegetative activities. In a 62-year-old overweight and heavily snoring man, complaining of excessive daytime sleepiness, three consecutive polysomnograms displayed a highly frequent occurrence of nocturnal apneas (apnea index: 15), mostly obstructive and mixed, limited to non-rapid eye movement sleep stages 1 and 2. The apneic episodes, that never occurred during non-CAP, exclusively appeared during the inhibitory phase B of CAP, whereas the following breathing resumption was mainly induced by an activating phase A pattern. The crucial effect of arousal instability on respiratory control is emphasized.
1990
Modifications of cyclic alternating pattern in sleep apnea syndrome / Terzano, Mario Giovanni; Parrino, Liborio; M. C., Spaggiari. - In: EUROPEAN NEUROLOGY. - ISSN 0014-3022. - 30:(1990), pp. 235-240.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2436613
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