Stoney Kersey, a 32-year-old African American male, underwent an overnight polysomnography study for suspected sleep disordered breathing. The study found an apnea/hypopnea index of one event per hour, with no significant obstructive events. While snoring was noted to be loud, there were no oxyhemoglobin desaturations below 88%. The diagnosis was primary snoring with no significant sleep disordered breathing. However, clinical correlation is recommended given the patient's history of loud snoring and witnessed apnea, and a repeat study may be pursued if clinical suspicion remains high.
Stoney Kersey, a 32-year-old African American male, underwent an overnight polysomnography study for suspected sleep disordered breathing. The study found an apnea/hypopnea index of one event per hour, with no significant obstructive events. While snoring was noted to be loud, there were no oxyhemoglobin desaturations below 88%. The diagnosis was primary snoring with no significant sleep disordered breathing. However, clinical correlation is recommended given the patient's history of loud snoring and witnessed apnea, and a repeat study may be pursued if clinical suspicion remains high.
Stoney Kersey, a 32-year-old African American male, underwent an overnight polysomnography study for suspected sleep disordered breathing. The study found an apnea/hypopnea index of one event per hour, with no significant obstructive events. While snoring was noted to be loud, there were no oxyhemoglobin desaturations below 88%. The diagnosis was primary snoring with no significant sleep disordered breathing. However, clinical correlation is recommended given the patient's history of loud snoring and witnessed apnea, and a repeat study may be pursued if clinical suspicion remains high.
Study date: February 9, 2022 Sleep technician: Daniel Blavek, RPSGT Scoring technician: Daniel Blavek, RPSGT OVERNIGHT DIAGNOSTIC POLYSOMNOGRAPHY: Overnight polysomnography was performed on this patient with suspected sleep disordered breathing. The patient is a 32 year old African-American male with BMI of 23. His medications are essentially none. In the beginning of the study the patient’s waking supine oxyhemoglobin saturation level my room air began at 96%. Thereafter he was awake for 66 minutes prior to sleep onset and then achieved a slightly decreased sleep efficiency of 79%. He had difficulty initialing sleep. Sleep architecture shows normal stage1 of sleep, elevated stage 2 of sleep, normal slow wave sleep and also normal REM sleep. Latency to REM sleep was slightly prolonged. Over the courses of study the patient did not display significant obstructive events. Overall apnea/hypopnea index was one event per hour stemming mainly from obstructive hypopneas. Central events were not encountered. The patient slept in the supine as well as the right and the left decubitus positions. Events were somewhat more prevalent in the supine position. These events were not associated with oxyhemoglobin desaturations. Lowest recorded SPO2 was 88%. Snoring however was noted to be loud. Sleep fragmentation was mild. Periodic limb movements were insignificant. Rhythm was normal sinus. His morning questionnaires stated that he slept the same as usual. DIAGNOSIS: Primary snoring. No significant sleep disordered breathing. No significant periodic limb movements in sleep. COMMENTS: Clinical correlation is recommended in this patient. He apparently has a history of loud snoring witnessed apnea and furthermore very enlarge tonsils. If clinical suspicion remain high or repeat polysomnography may be pursued. Thank you for your kind referral.