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ayla
  Unread post  Post subject: chronic headache with mild apnea  |  Posted: Thu May 30, 2013 10:41 am

Joined: Thu May 30, 2013 10:31 am
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Hello,

My 18 year old son is a recovering opiate/benzodiazapine addict. He has been clean for 11 months. Soon after stopping drug use, he started getting headaches. They increased in duration and frequency and now has had a constant headache. It is worse in the morning, but never goes away.

We had a home sleep study that recorded data over two nights. The AHI one night was 17.3, the second night it was 10.9. He had 11 apneas one night of which 9 were considered CSA and 12 apeneas the other night of which 8 were CSA. He had numerous hypopneas also.

He just got a CPAP and has used it for two nights in a row. He is having suprisingly little trouble adjusting to it. The headache has not improved with the couple of days on the CPAP.

Could mild apnea cause such an chronic headache. If it is from the apnea, any idea on how long before he gets relief? He is having a hard time going to school and work because of it.

Appreciate any insights you may have.


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TheLankyLefty
Unread post  Post subject: Re: chronic headache with mild apnea  |  Posted: Thu May 30, 2013 9:42 pm
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Joined: Mon Aug 15, 2011 10:22 am
Posts: 4696
PAP Mask: Practically tried them all.
PAP Machine: Use Phillips Respironics System One APAP with Aflex for mask testing
Humidifier: None
Pressure Setting: When testing, I use APAP with a range of 5-10

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ayla wrote:
Appreciate any insights you may have.
Really? My insights always tend to be full of cynicism and skepticism in cases like this. :?

Whenever I hear that a Home Sleep Test was used my trust in the diagnosis plummets. Was EEG used to determine whether or not he was even asleep? Some HSTs do make use of EEG, but they are extremely rare. (lots more work, more reliable, same low reimbursement....so NOBODY uses EEG with HST)

Then, when a HST is used for the diagnosis, how was the CPAP titration done? Usually it's an Auto CPAP set to 4-20cmH20. Love APAPs, but hate the 4-20cmH20 setting.

More information on this would be helpful, but I suspect that he's not on the right pressure with my broad sweeping assumptions! ;)

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ayla
Unread post  Post subject: Re: chronic headache with mild apnea  |  Posted: Fri May 31, 2013 5:01 am

Joined: Thu May 30, 2013 10:31 am
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No there was no EEG, and we were told that the pressure would range between 4 and 10 and then auto set at the optimum. We are supposed to send the data chip in after 10 or 30 days (the technician wasn't sure) and they would be able to tell if adjustments were needed.

Should I try to insist on a lab study? Not sure if insurance will cover it. Will they eventually hit on the correct pressure with the approach we are taking?


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TheLankyLefty
Unread post  Post subject: Re: chronic headache with mild apnea  |  Posted: Fri May 31, 2013 10:31 am
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Site Admin

Joined: Mon Aug 15, 2011 10:22 am
Posts: 4696
PAP Mask: Practically tried them all.
PAP Machine: Use Phillips Respironics System One APAP with Aflex for mask testing
Humidifier: None
Pressure Setting: When testing, I use APAP with a range of 5-10

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The only real problem with Autos is that the use vibrations to detect subtle sleep disordered breathing. Usually with RERAs there is no snoring, so RERAs don't seem to be titrated for.

I don't know if it will find the correct pressure or pressure range...you won't know that without EEG.

The other issue is that there may be mouth and mask leaks that invalidate the data being recorded. It's may be why there are still headaches. It's really all guesswork with this approach. Go through it and have the questions ready when the results are reported to you.

Let us know what the machine titration says.

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Information on FreeCPAPAdvice.com should not be considered medical advice. Seek your physicians advice before seeking treatment for medical conditions. Information posted on the FreeCPAPAdvice.com website and forum is opinion and not statements of fact.


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