Stroke That Affects Brainstem May Raise Risk Of Sleep Apnea

Stroke That Affects Brainstem May Raise Risk Of Sleep Apnea
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People who have had a stroke that affects the brainstem may be more likely to experience sleep apnea, a new study suggests.

Researchers from the University of Michigan in Ann Arbor found that the prevalence of sleep apnea is higher among people who have experienced stroke affecting the brainstem, compared with people who have experienced stroke affecting other parts of the brain. Sleep apnea is a sleep disorder marked by pauses in breathing during sleep, leading to disturbed sleep. It causes daytime fatigue and has been linked with other negative health outcomes, including heart disease and stroke.

The study, presented at the American Stroke Association's International Stroke Conference 2014, included 355 people with an average age of 65 who had suffered an ischemic stroke and were part of the Brain Attack Surveillance in Corpus Christi (BASIC) Project. Their CT and MRI brain imaging scans were examined to determine if their stroke had affected their brainstem or not.

Researchers found that nearly all -- 84 percent -- of the 11 percent of stroke patients whose brainstems were affected had sleep apnea. Meanwhile, 59 percent of the stroke patients whose brainstems were not affected by stroke had sleep apnea.

"While these numbers are high, more research into the relationship between stroke and sleep apnea is needed before we recommend routine sleep apnea screening in post-stroke patients," study researcher Dr. Devin L. Brown, M.D., M.S., associate professor of neurology and associate director of the university's stroke program, said in a statement.

Before You Go

Health Concerns Linked With Sleep Apnea
Sleep Apnea Increases Risk Of Heart Attack(01 of08)
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The sleep disorder has a number of poor effects on the heart. "It's as if somebody's choking you, so your heart rate goes up, your blood pressure goes up," Charles Czeisler, M.D., the Baldino Professor of Sleep Medicine at Harvard Medical School told Health magazine. "Over time, even your daytime blood pressure is higher." Sleep apnea may be responsible for a third of all cases of high blood pressure in Americans, he told the magazine. A 2007 study showed just how serious these cardiovascular effects of sleep apnea are. The research found that people with sleep apnea were 30 percent more likely to have a heart attack or die of any cause over a four to five year period.
Sleep Apnea May Increase Depression Risk(02 of08)
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The under diagnosed sleep condition takes a serious toll on the mood, according to March research from the CDC. In fact, men with sleep apnea were more than twice as likely and women more than five times as likely to feel hopeless, lose interest in their regular activites and display other signs of clinical depression, Health.com reported. Snoring did not seem to be associated with depression. Luckily, the very same treatment for sleep apnea may also ease depression, according to Cleveland Clinic research. (credit:<a href="http://www.flickr.com/" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="Flickr" data-vars-item-type="text" data-vars-unit-name="5b9ddd81e4b03a1dcc8de9fe" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="13" data-vars-position-in-unit="15">Flickr</a>:<a href="http://www.flickr.com/photos/12766029@N07/7780486822" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="hoill" data-vars-item-type="text" data-vars-unit-name="5b9ddd81e4b03a1dcc8de9fe" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/photos/12766029@N07/7780486822" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="14" data-vars-position-in-unit="16">hoill</a>)
Sleep Apnea May Be A Risk Factor For Diabetes(03 of08)
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There is a growing body of research supporting a link between the presence of sleep apnea and metabolic disorders like diabetes, HuffPost reported in May. Both moderate and severe obstructive sleep apnea were found to be predictors of the disease. A previous study found that people with sleep apnea had more than double the risk of developing diabetes.
Sleep Apnea May Increase Cancer Risk(04 of08)
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Not only do people with sleep apnea have a higher risk of developing cancer, but they also have a higher risk of dying from the disease, the New York Times reported. Two studies in May examined this link. One found people with sleep apnea had a 65 percent higher change of developing any kind of cancer. The second found that disordered breathing contributed to a five-times higher rate of dying from the disease. (credit:Alamy)
Sleep Apnea May Sap Your Libido(05 of08)
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Excessive sleepiness is certainly enough to kill the mood, but research suggests that sleep apnea in particular has an effect on sexual function in both men and women. It may drive down sex hormones like testosterone in a way that can extinguish the flame for women and cause erectile dysfunction in men, according to the New York Times. And while the typical treatment -- a CPAP machine -- is not exactly an aphrodisiac, Dr. Michael J. Breus writes, it can help not only with sleep apnea, but with the sexual side effects as well.
Sleep Apnea May Increase Stroke Risk(06 of08)
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Researchers have long studied the link between the sleep disorder and the risk of stroke, but a small recent study found that 51 of 56 stroke patients evaluated -- or 91 percent of patients -- had sleep apnea, Dr. Michael J. Breus wrote for HuffPost. More research is still needed to determine just what role disrupted breathing plays in this elevated risk. (credit:Alamy)
Sleep Apnea Increases Accident Risk(07 of08)
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It's not rocket science -- excessive sleepiness during the day leads to sleepier drivers who are at a higher risk of crashing. But a 2008 study found that people with sleep apnea have double the risk of being in a car accident and are three to five times more likely to be in a serious crash. The study was the first to examine the severity of car crashes among people with sleep apnea, and found that even mild disordered breathing was linked to increased risk. (credit:Alamy)
Sleep Apnea Is Linked To Pregnancy Complications(08 of08)
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Granted, Perry doesn't have to worry about this particular concern. While sleep apnea is often perceived as a problem predominately for men, women are not immune. And, in fact, sleep apnea presents unique complications for women. A recent study found that women with sleep apnea were more likely to develop high blood pressure during their pregnancies, to require a C-section birth and their babies were more likely to be admitted to the neonatal intensive care unit. (credit:<a href="http://www.flickr.com/" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="Flickr" data-vars-item-type="text" data-vars-unit-name="5b9ddd81e4b03a1dcc8de9fe" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="2" data-vars-position-in-unit="4">Flickr</a>:<a href="http://www.flickr.com/photos/39377396@N00/6394189033" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="olga.palma" data-vars-item-type="text" data-vars-unit-name="5b9ddd81e4b03a1dcc8de9fe" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/photos/39377396@N00/6394189033" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="3" data-vars-position-in-unit="5">olga.palma</a>)

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