Obstructive Sleep Apnea Exaggeration As Predictor of Poor Outcome Post Thrombolytic Stroke

Overview

Journal Radiol Case Rep

Publisher Elsevier

Specialty Radiology

Date 2024 Jun 11

PMID 38860268

Authors

Rakhmad Hidayat

Ramadhanti Salma Ulwanda

Aruni Cahya Irfannadhira

Elvie Zulka Kautzia Rachmawati

David Pangeran

Reyhan Eddy Yunus

Taufik Mesiano

Mohammad Kurniawan

Al Rasyid

Salim Harris

Affiliations

Soon will be listed here.

Abstract

Obstructive sleep apnea (OSA) is a common sleep disordered breathing in stroke patients. This case report aimed to show the presence of OSA in stroke can contribute to the increasing chance of mortality and morbidity. We presented a case of first-time stroke in a 64-year-old female with a history of pre-stroke OSA. She underwent intravenous thrombolysis as main therapy within the time limit under 4.5 hours since the stroke onset. She had prolonged hospital stay due to complications from OSA, even though she only had a small ischemic core (9 mL) in follow-up radiological imaging and was discharged with a greater National Institutes of Health Stroke Scale (NIHSS) score than admission (5 to 10). OSA can be one of warning signs for poor prognosis in stroke patients. Understanding the presence of OSA not only can be beneficial toward choosing the next steps of therapy, but also important for the rehabilitation and recovery period of stroke patients.

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