%0 Journal Article %T MRI and polysomnographic findings of patients affected by post-stroke sleep apnea %A Maria Luisa Sacchetti %A Marco Fiorelli %A Giacomo Della Marca %A Anna Losurdo %A Gennaro Russo %A Danilo Toni %A Antonio Minni %A Emanuele Tinelli %A Francesca Caramia %A Maria Teresa Di Mascio %J Health %P 49-56 %@ 1949-5005 %D 2013 %I Scientific Research Publishing %R 10.4236/health.2013.58A2008 %X

Aim: The aim of our study was to compare characteristics of stroke patients who presented Obstructive Sleep Apnea/Hypopnea (OSAH) to those of cases that presented Central Sleep Apnea/Hypopnea (CSAH) events at PSG, and to investigate relationships between the type of breathing disturb during sleep and the location of brain damage. Methods: Thirty four patients were submitted to clinical, neuroradiological and polisomnographyc study (PSG) after 4 months of stroke. A Sleep Disordered Breathing (SDB) was diagnosed in all cases with an AHI > 5. Patients were classified as affected by predominantly OSAH (pOSAH), or predominantly CSAH (pCSAH). Comparisons were made among the groups and correlation analyses were done in each group. Significance was set at p < 0.005. Results: Twenty six patients with ischemic strokes had a SDB during sleep (56% embolic, 31% lacunar, 8% large artery, 8% with undetermined cause). The 61% of them showed pOSAH. Except for age, no statistical differences were found between the two groups as to clinical findings, risk factors for stroke, PSG data, or location of brain lesion. Correlation analysis outlined that in pOSAH cases the time interval from stroke to PSG (жд