The Relationship between Idiopathic Intracranial Hypertension and Obstructive Sleep Apnea: Is Obesity the Only Mediating Factor between the Two?

Şule Deveci; Vasfiye Kabeloğlu

Article Details

The Relationship between Idiopathic Intracranial Hypertension and Obstructive Sleep Apnea: Is Obesity the Only Mediating Factor between the Two?

Authors:

Şule Deveci | Vasfiye Kabeloğlu

Publisher:

Duzce University

Main Topics:

Neurology and Neuromuscular Diseases

Journal:

Duzce Medical Journal Vol.26 Issue 2, pp.122-128

Document Type:

Article

Publication Date:

8/2024

Document Language:

English

Document ID (Org No.):

2001323285

pISSN:

1307-671X

Keywords:

Abstract:

 Aim: This study aimed to investigate the possible reciprocal relationship between idiopathic intracranial hypertension IIH and obstructive sleep apnea OSA. Material and Methods: This cross-sectional study was conducted from October 2023 to February 2024. Patients with IIH and age and gender-matched controls without IIH were included. Information on age, gender, comorbidities, smoking, and alcohol consumption was recorded. Body mass index BMI was calculated, and a BMI 30 was considered obese. Berlin questionnaire and STOP-BANG questionnaire were administered to all participants. High risk for OSA was determined if participants responded affirmatively to at least three out of the eight questions on the STOP-BANG questionnaire, or if two out of the three categories showed positive results on the Berlin questionnaire. Results: Sixty patients with IIH and 120 controls participated. There were no significant differences between groups regarding age p0.437 and gender distribution p0.716. The percentage of obese subjects was significantly higher in the IIH group p0.001. The Berlin and STOP-BANG results showed that the IIH group had higher risks for OSA than the control group. Multivariate logistic regression analysis revealed obesity as the only factor independently associated with high-risk classification with the Berlin questionnaire. In the STOP-BANG survey, higher age, male gender, obesity, and hyperlipidemia were independently related to high-risk classification. Conclusion: Obesity is a common risk factor for both OSA and IIH. The coexistence of OSA and IIH may cause increased morbidity and mortality rates in both diseases. Therefore, we recommend that patients with IIH be screened for OSA risk.

 Aim: This study aimed to investigate the possible reciprocal relationship between idiopathic intracranial hypertension IIH and obstructive sleep apnea OSA. Material and Methods: This cross-sectional study was conducted from October 2023 to February 2024. Patients with IIH and age and gender-matched controls without IIH were included. Information on age, gender, comorbidities, smoking, and alcohol consumption was recorded. Body mass index BMI was calculated, and a BMI 30 was considered obese. Berlin questionnaire and STOP-BANG questionnaire were administered to all participants. High risk for OSA was determined if participants responded affirmatively to at least three out of the eight questions on the STOP-BANG questionnaire, or if two out of the three categories showed positive results on the Berlin questionnaire. Results: Sixty patients with IIH and 120 controls participated. There were no significant differences between groups regarding age p0.437 and gender distribution p0.716. The percentage of obese subjects was significantly higher in the IIH group p0.001. The Berlin and STOP-BANG results showed that the IIH group had higher risks for OSA than the control group. Multivariate logistic regression analysis revealed obesity as the only factor independently associated with high-risk classification with the Berlin questionnaire. In the STOP-BANG survey, higher age, male gender, obesity, and hyperlipidemia were independently related to high-risk classification. Conclusion: Obesity is a common risk factor for both OSA and IIH. The coexistence of OSA and IIH may cause increased morbidity and mortality rates in both diseases. Therefore, we recommend that patients with IIH be screened for OSA risk.

 Aim: This study aimed to investigate the possible reciprocal relationship between idiopathic intracranial hypertension IIH and obstructive sleep apnea OSA. Material and Methods: This cross-sectional study was conducted from October 2023 to February 2024. Patients with IIH and age and gender-matched controls without IIH were included. Information on age, gender, comorbidities, smoking, and alcohol consumption was recorded. Body mass index BMI was calculated, and a BMI 30 was considered obese. Berlin questionnaire and STOP-BANG questionnaire were administered to all participants. High risk for OSA was determined if participants responded affirmatively to at least three out of the eight questions on the STOP-BANG questionnaire, or if two out of the three categories showed positive results on the Berlin questionnaire. Results: Sixty patients with IIH and 120 controls participated. There were no significant differences between groups regarding age p0.437 and gender distribution p0.716. The percentage of obese subjects was significantly higher in the IIH group p0.001. The Berlin and STOP-BANG results showed that the IIH group had higher risks for OSA than the control group. Multivariate logistic regression analysis revealed obesity as the only factor independently associated with high-risk classification with the Berlin questionnaire. In the STOP-BANG survey, higher age, male gender, obesity, and hyperlipidemia were independently related to high-risk classification. Conclusion: Obesity is a common risk factor for both OSA and IIH. The coexistence of OSA and IIH may cause increased morbidity and mortality rates in both diseases. Therefore, we recommend that patients with IIH be screened for OSA risk.

 Amaç: Bu çalışmanın amacı idiyopatik intrakraniyal hipertansiyon İİH ve obstrüktif uyku apnesi OSA arasındaki olası karşılıklı ilişkiyi araştırmaktır. Gereç ve Yöntemler: Bu kesitsel çalışma Ekim 2023 ile Şubat 2024 tarihleri arasında gerçekleştirilmiştir. İİHli hastalar ve İİHsi olmayan yaş ve cinsiyet uyumlu kontroller çalışmaya dahil edilmiştir. Yaş, cinsiyet, komorbiditeler, sigara içme ve alkol tüketimine ilişkin bilgiler kaydedilmiştir. Vücut kitle indeksi VKİ hesaplanmış ve VKİ 30 olanlar obez olarak kabul edilmiştir. Tüm katılımcılara Berlin anketi ve STOP-BANG anketi uygulanmıştır. Katılımcılar STOP-BANG anketindeki sekiz sorudan en az üçüne olumlu yanıt verdiğinde veya Berlin anketinde üç kategoriden ikisi olumlu sonuç verdiğinde OUA için yüksek risk belirlenmiştir. Bulgular: Altmış İİH hastası ve 120 kontrol grubu katılmıştır. Gruplar arasında yaş p0.437 ve cinsiyet dağılımı p0.716 açısından anlamlı fark yoktu. Obez bireylerin yüzdesi İİH grubunda anlamlı derecede yüksekti p0.001. Berlin ve STOP-BANG sonuçları, İİH grubunun kontrol grubuna göre OUA için daha yüksek risk taşıdığını göstermiştir. Çok değişkenli lojistik regresyon analizi, Berlin anketinde yüksek risk sınıflandırması ile bağımsız olarak ilişkili tek faktörün obezite olduğunu ortaya koymuştur. STOP-BANG anketinde ise yüksek yaş, erkek cinsiyet, obezite ve hiperlipidemi bağımsız olarak yüksek risk sınıflandırması ile ilişkili bulunmuştur. Sonuç: Obezite hem OSA hem de İİH için ortak risk faktörüdür. OSA ve İİH birlikteliği her iki hastalıkta da artmış morbidite ve mortalite oranlarına neden olabilir. Bu nedenle, İİHli hastaların OSA riski açısından taranmasını öneriyoruz.

Article Details

The Relationship between Idiopathic Intracranial Hypertension and Obstructive Sleep Apnea: Is Obesity the Only Mediating Factor between the Two?

Authors:

Şule Deveci | Vasfiye Kabeloğlu

Publisher:

Duzce University

Main Topics:

Neurology and Neuromuscular Diseases

Journal:

Duzce Medical Journal Vol.26 Issue 2, pp.122-128

Document Type:

Article

Publication Date:

8/2024

Document Language:

English

Document ID (Org No.):

2001323285

pISSN:

1307-671X

Pseudotumor cerebri

sleep apnea

obstructive

body mass index

obesityPsödotümör serebri

uyku apnesi

obstrüktif

vücut kitle indeksi

obezite

Issues

Article Details

Authors: Şule Deveci | Vasfiye Kabeloğlu

Publisher: Duzce University

Main Topics: Neurology and Neuromuscular Diseases

Journal: Duzce Medical Journal Vol.26 Issue 2, pp.122-128

Document Type: Article

Publication Date: 8/2024

Document Language: English

Document ID (Org No.): 2001323285

pISSN: 1307-671X

Issues

Authors:

Şule Deveci | Vasfiye Kabeloğlu

Publisher:

Duzce University

Main Topics:

Neurology and Neuromuscular Diseases

Journal:

Duzce Medical Journal Vol.26 Issue 2, pp.122-128

Document Type:

Article

Publication Date:

8/2024

Document Language:

English

Document ID (Org No.):

2001323285

pISSN:

1307-671X