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Thread: Another sleep apnea question

  1. #1

    Another sleep apnea question

    Does a SCI make somebody more prone to central sleep apnea (as opposed to obstructive sleep apnea)?

    I had a boyfriend a couple of years ago who told me I frequently would stop breating during my sleep. But his description didn't sound like the OSA descriptions, wasn't snoring, etc. Plus I am not overweight, don't really fit the profile for OSA according to a girlfriend of mine who does sleep studies (alas, in another state). When I did the research on the net, it sounded like central sleep apnea, but most of the sites said it was from a brainstem injury or some other cause that I didn't fit into. I should add that I also suffer from significant fatigue problems of unknown origin, take provigil, which sleep apnea might explain.

    I have to admit though, I have been reluctant to pursue this avenue. It seems the only treatment is CPAP, I know about the non-compliance issues and I can surely understand why. Plus I am single and dating, no plans to marry this century. Talk about a mood killer. Probably be lucky if I ever saw the guy again. He might be a nurse (and critical care at that, so is used to vents and such), but even nurses have their limits.

  2. #2
    Well, BiPAP/CPAP is not very sexy, but of course neither is sudden death or early heart disease, both which can be associated with untreated obstructive sleep apnea.

    Here are a couple of resources you may want to review:

    http://www.talkaboutsleep.com/sleep-...spinalcord.htm

    http://sci.washington.edu/projects_a...leep_apnea.asp

    http://www.nature.com/sc/journal/v36.../3100675a.html

    http://www.spinalcord.uab.edu/show.asp?durki=79693

    (KLD)

  3. #3
    Senior Member smokey's Avatar
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    I have a anti-snoring chin strap. It does work somewhat. It's made by Tiara but similar to the Topaz model below. I'd try the Breath EZ adjustable model if I were you. I have the "one size fits all" type and it became stretched out rather quickly. I just wash it in the sink and dry it on a radiator or hair dryer and it shrinks up a bit. Whatever model you might choose, they are all terribly kinky and sexy!

    Here is the one I have; http://www.cpapplus.com/CPAP_Headgea...al/TMS-09.html

    Here is the types you might want; http://www.cpapman.com/chnstrps.html#anchor58240

    http://www.cpapplus.com/CPAP_Headgea...TMS-09ADJ.html

  4. #4
    Thanks to both of you for taking the time to respond, and for the links. Unfortunately my apnea, if I have it, is not associated with snoring or any kind of obstruction. There are two types of sleep apnea, obstructive and central (well three, one can have a mixture). I merely stop breathing, let out a little gasp, and then resume (or so I was told). That was why I was inquiring about central sleep apnea, as opposed to obstructive. Yep, if SCI and antidepressants aren't tough enough on a sex life, I imagine this could finish it off. Maybe I will just join a convent, sigh.......

  5. #5
    Senior Member Dave E's Avatar
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    Have you done a sleep study? Lucky me, I was injured at work and workmans comp paid for my sleep study and c-pap machine. As of yet, we are still working on getting it set so that I can actually use it. I really want to stop the snoreing so that my wife will quit moving to the couch in the middle of the night. It's not fair to her. DME oxygen guy comming again today to make adjustments. I an even considering surgery if there is one that will help us out. I do not know if having an impaired diaphram gives me any options. ?
    Dave E. C6-7 Incomp. Quad 9-06

    "NEVER LOSE SIGHT OF YOUR DREAMS!"
    "THERE IS NOTHING BETTER FOR THE INSIDE OF A MAN / WOMAN THAN THE OUTSIDE OF A HORSE"

  6. #6
    There is not always snoring with sleep apnea.
    the majority of people have a mixed sleep apnea.
    You need to be tested.

    CWO

  7. #7
    Have you done the at home oximetry testing yet? I do two nights in a row every year to check my oxygen levels while I sleep. The oximeter on my finger seems to wake me up more the first night--but by the second night...zzzzzzzzzzzzzzzzzzzzzz.

    Take care!
    T-4 complete since 1973

  8. #8
    I have severe sleep apnea - not only stop breathing multiple times but also my oxygen levels fall to low 80s even when breathing while asleep.
    I sleep with a timed Bipap. I was told it was because of my SCI.
    Sometimes if I am feeling tired late afternoon, I will put the bipap on then for an hour or 2. It makes a huge difference.

  9. #9
    Senior Member Jeff B's Avatar
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    My sleep apnea came on strong after about one year following my SCI. It is probably increased by baclofen or other meds that relax muscles, paralysed chest muscles, and not really moving around in my sleep like aa normal person would.

    The gear is a bit irritating to wear but you will get used to it. It makes a huge difference in energy levels. I was always exhausted before using CPAP. It is a bit funny to wear but at least I am not making gross noises in my sleep any more and the constant bags under my eyes, which I had thought were due to age but were actually due to being tired, went away soon after I started treating my sleep apnea.

  10. #10
    Quote Originally Posted by dunwawry
    Unfortunately my apnea, if I have it, is not associated with snoring or any kind of obstruction. There are two types of sleep apnea, obstructive and central (well three, one can have a mixture). I merely stop breathing, let out a little gasp, and then resume (or so I was told). That was why I was inquiring about central sleep apnea, as opposed to obstructive.
    I think OSA without snoring is especially common in women. My sister doesn't snore at all, still has OSA though, not CSA. In snoring it vibrates, in apnea it closes off, you don't have to have the former to have the latter I guess.

    Thomas

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