RT Journal Article
SR Electronic
T1 Acute psychosis after CPAP treatment in a schizophrenic patient with sleep apnoea­hypopnoea syndrome
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 313
OP 315
DO 10.1183/09031936.01.17203130
VO 17
IS 2
A1 E. Chiner
A1 J.M. Arriero
A1 J. Signes-Costa
A1 J. Marco
YR 2001
UL http://erj.ersjournals.com/content/17/2/313.abstract
AB A 52-yr-old man with a residual phase of schizophrenia developed sleep apnoea­hypopnoea syndrome (SAHS). After five days of continuous positive airway pressure (CPAP) treatment, the patient developed an aggressive mood with incoherence, prominent hallucinations and agitation, and attempted to hit his relatives. He was finally admitted to the hospital with an acute psychotic episode. Withdrawal of CPAP, and neuroleptic treatment controlled the episode, and clinical symptoms of SAHS reappeared 10 days later.Schizophrenia associated to sleep apnoea­hypopnoea syndrome has rarely been reported, but, to the authors' knowledge, the induction of a psychotic episode by continuous positive airway pressure treatment in a patient with sleep apnoea­hypopnoea syndrome and coexisting schizophrenia has never been previously reported.