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

Authors : Şule Deveci, Vasfiye Kabeloğlu

Pages : 122-128

Doi:10.18678/dtfd.1458219

View : 50 | Download : 68

Publication Date : 2024-08-30

Article Type : Research Paper

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 (p=0.437) and gender distribution (p=0.716). The percentage of obese subjects was significantly higher in the IIH group (p<0.001). 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.
Keywords : Psödotümör serebri, uyku apnesi, obstrüktif, vücut kitle indeksi, obezite