Tuesday, March 24, 2020

Central Sleep Apnea but Only in Supine Position

Hi.

I'm a 30 year old white male. Non smoker, non drinker, underweight, and with no known health conditions other than what we believe to be is a currently un-diagnosed auto-immune disorder (something akin to a very mild case of Wegener's).

I've been pushed through the gauntlet by my GP and my Internist to see a variety of specialists for some symptoms I've had for about a year now. Sporadic breathing difficulties has been a symptom, so I was sent to a Pulmonologist who is also a sleep expert. While he wants me to see him as both, the lung tests are kind of on the back burner due to the COVID-19 situation, but I was able to land a sleep study with him.

Results came back and it was concluded that I had 'mild central sleep apnea', but that almost all my episodes where when I was supine. To be honest, of all the things I've found out about my health situation this past year, this one surprised me the least. I've had issues with breathing normally, as well as palpitations when I lay on my back for most of my adult life, and when I wake up out of breath I'm almost always on my back. Never sure why though as I have no obvious anatomical deformities, lung or heart issues.

What did surprise me though was that it's CSA and not OSA. I would figure that a position specific case would be due to OSA. I'm now confused as to why CSA would be related to a specific sleeping position?

Anyone else in a similar boat and know why? I have seen a neurologist but a brain MRI showed nothing of note, although they were looking for MS lesions specifically and not a brainstem issue so perhaps something was missed?

Anyway, thanks.

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https://www.reddit.com/r/SleepApnea/comments/foag7c/central_sleep_apnea_but_only_in_supine_position/

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