January 2023 Sleep Case of the Month: An Unexpected EEG Abnormality

Sunday, January 1, 2023 at 8:00AM
Rick Robbins, M.D. in FIRDA, OSA, diagnosis, differential diagnosis, frontal intermittent rhythmic delta activity, frontal seizure activity, mild obstructive sleep apnea, polysomnography, sleep study, treatment

David M. Baratz, MD¹

Ken Cooper, RPSGT²

¹Pulmonary Associates

Scottsdale, AZ USA

²Cobre Valley Regional Medical Center

Globe, AZ USA

A 46-year-old woman was referred because of snoring, observed apnea, and daytime hypersomnolence. Her Epworth Sleepiness Scale was 9 out of 24. She was slightly overweight but otherwise her physical examination was normal. An overnight polysomnography was requested but denied by her insurance company.

What should be done at this time? (Click on the correct answer to be directed to the second of six pages)

1. An at home sleep study
2. ENT referral
3. Reassurance
4. 1 and 3
   
5. All of the above

Article originally appeared on Southwest Journal of Pulmonary, Critical Care and Sleep (https://www.swjpcc.com/).