Casos Clínicos em Psiquiatria - Volume 01 - N º 01 - Janeiro/Junho 1999 - 10 - Considerando a síndrome de apnéia arer no diagnóstico diferencial de transtornos psiquiátricos

Considerando a síndrome de apnéia arer no diagnóstico diferencial de transtornos psiquiátricos. Considering the sleep apnea hipopnea rera syndrome in the differential diagnose of psychiatric disorders. . Dirceu de Campos Valladares Neto*. . * Psychiatrist, sleep disorders clinican, member of the American Academy of Sleep Medicine.. . Summary. . It is not rare to see patients complaining to the psychiatrist of depression, insomnia, apathy, lack of motivation and hypersomnia who do not respond to antidepressants (AD). Obstructive sleep apnea hypopnea syndrome (OSAHS) with respiratory effortrelated arousal (RERA) is frequently not considered in the differential diagnosis or as a second diagnostic, which can lead to frustration to both doctors and patients. OSAHS is not a rare condition, affecting 4% to 6% of the general population. In Brazil six to eight million people suffer from OSAHS, most of them not diagnosed or misdiagnosed and incorrectly treated. OSAHS is also associated with infarct of myocardial, strokes, hypertension, a seven fold risk in automobile accidents and represents a social burden. The purpose of presenting this case is to call attention ...

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