Acute psychosis after CPAP treatment in a schizophrenic patient with sleep apnoea-hypopnoea syndrome

The European Respiratory Journal
E ChinerJ Marco

Abstract

A 52-yr-old man with a residual phase of schizophrenia developed sleep apnoea-hypopnoea 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 apnoea-hypopnoea 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 apnoea-hypopnoea syndrome and coexisting schizophrenia has never been previously reported.

Citations

Mar 27, 2013·Sleep Medicine Reviews·Megan J KalucyNicholas Glozier
Sep 27, 2015·Clinical Psychology Review·Sarah ReeveDaniel Freeman
Apr 20, 2004·International Journal of Psychiatry in Medicine·Stavros BoufidisAthanasios Karavatos
Oct 1, 2011·Acta Neuropsychiatrica·Abdulkader Alam, Kadiamada Nanaiah Roy Chengappa
Mar 24, 2020·Journal of Psychiatric Research·Katarzyna Szaulińska, Adam Wichniak

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