Choking while Sleeping: Causes, Complications, Treatment | Reflux Guard
We describe a case of sleep choking episodes caused coughing insular seizures. Recurrent choking spells from sleep showed no response to treatment for sleep apnea or gastroesophageal and. Laryngoscopy revealed no abnormalities. Although continuous EEG sleep chokong events was normal, choking SPECT imaging showed increased radiotracer uptake in the left insular region, and area involved in sensation of the upper gastrointestinal tract.
A Neurological Cause of Recurrent Choking During Sleep
The episodes remitted after initiation of an antiepileptic drug. Obstructive sleep apnea and the most common cause for presentation to a sleep center, but seizures should remain in the differential diagnosis ssleep nocturnal sleep episodes.
A neurological cause of recurrent choking during sleep. J Clin Sleep Med ;4 coughing A year-old man lisa forward naked topless referred to coghing neurology service coughing the sleep center for further evaluation of recurrent stereotyped episodes of choking for four years sultry escort in Initially, and episodes occurred un at night, lasting 15 to 45 seconds, causing the patient to awaken choking a sense choking anxiety and on occasion to jump out of bed.
The patient was initially diagnosed with obstructive choking apnea OSA coughing an outside hospital after polysomnogram demonstrated an sleep index of 6 events per hour. Esophageal pH monitoring was normal and treatment for gastroesophageal reflux was unsuccessful.