OSA is not caused by Hypothyroidism Part Two.

Discussion in 'Fibromyalgia Main Forum' started by gapsych, Jun 4, 2010.

  1. gapsych

    gapsych New Member

    Straight from the sleep neurologist mouth. To the best of my recollection and notes. I am responsible for any inaccuracies.

    Q. Does Hypothyroidism cause OSA or CSA?

    A. No. It is caused by a neurological condition and/or structural anomaly of the nose, mouth and air passage

    Q What about goiter, thick tongue, etc. causing OSA or CSA?

    A. Might trigger OSA and CSA because of the structural changes. But hypothyroidism is not a primary reason people get OSA/CSA. Hypothyroidism is a condition characterized by abnormally low thyroid hormone production. (Then something about pituatary and hypothalamus but did not get all the details written down.)

    Q. Will taking thyroid meds. stop apnea?

    A.Theoretically it could with OSA (not CSA) by reducing a goiter, etc. However, most of my patients will have the lax muscle tone from these abnormalities even after normal thyroid readings. Weight reduction may help as far as the level of pressure in the CPAP needed but it is not always a guarantee to reverse the OSA.

    Q.Do you see more hypothyroidism in the OSA/CSA patient population?

    A. From my experience and research it is the same as the general population.

    Q.Should people get their thyroid checked before a sleep study.

    A. All patients need to have a complete physical which would include a thyroid test, before getting a sleep test.

    My doctor is nationally known as a sleep specialist and sits on the board of ????, fibro fog here, association. I think an important association. He also has a PhD in something to do with sleep. :>)

    After the appointment, I bought a Heath Bar. Been craving one since the post about Heath Bars.

    So form you own opinion about this information. I have some more information about causes I might post, but I really think it is time to stop debating this issue.


    ETA OSA is Obstructive Sleep Apnea. CSA is Central Sleep Apnea where the brain sends signals that stop breathing when sleeping.
    [This Message was Edited on 06/04/2010]
  2. gapsych

    gapsych New Member

    No mention of hypothyroidism.

    From: http://www.wrongdiagnosis.com/s/sleep_apnea/causes.htm#causeslist

    List of causes of Sleep apneaFollowing is a list of causes or underlying conditions (see also Misdiagnosis of underlying causes of Sleep apnea) that could possibly cause Sleep apnea includes:

    •Common cold
    •Enlarged tonsils
    •Enlarged adenoids
    •Airway abnormality
    •Nose abnormality
    •Throat abnormality
    •Chromosome 17, trisomy 17p11.2 - sleep apnea
    •Mucopolysaccharidosis type I Hurler syndrome - sleep apnea
    •Marfan syndrome - sleep apnea
    •Glaucoma -- sleep apnea - sleep apnea
    •Amyotrophic lateral sclerosis 3 - sleep apnea
    •Adenoid disorders - sleep apnea
    •Joubert Syndrome - sleep apnea
    •Tonsilitis - sleep apnea
    •Insomnia with sleep apnea - sleep apnea
    •Arnold-Chiari malformation type 2 - sleep apnea
    •Amyotrophic lateral sclerosis 6 - sleep apnea
    •Charcot-Marie-Tooth disease, Type 1A - sleep apnea
    •Amyotrophic lateral sclerosis 7 - sleep apnea
    •Glycogenosis type 2 - sleep apnea
    •Glycogen storage disease type 2 - sleep apnea
    •Amyotrophic lateral sclerosis 8 - sleep apnea
    •Adenoiditis - sleep apnea
    •Pulmonary venous hypertension - breathing difficulty at night
    •Metabolic Syndrome - sleep apnea
    •Hypertrophyof tonsils and/or adenoids
    •Chronic nasal obstruction, including choanal stenosis, severe septal deviation, allergic rhinitis, nasal polyps, and rare nasal and/or pharyngeal tumors
    •Down syndrome
    •Pierre Robin anomaly
    •Crouzon syndrome
    •Treacher Collins syndrome
    •Klippel-Feil syndrome
    •Beckwith-Wiedemann syndrome
    •Apert syndrome
    •Prader Willi syndrome
    •Morbid obesity
  3. gapsych

    gapsych New Member

    Sleep apnea as a complication:Other conditions that might have Sleep apnea as a complication might be potential underlying conditions. The list of conditions listing Sleep apnea as a complication includes:

    •Adenoid disorders
    •Mucopolysaccharidosis type I Hurler syndrome

    No hypothyroidism.
  4. gapsych

    gapsych New Member

    For a diagnosis of Sleep apnea, the following list of conditions have been mentioned in sources as possible alternative diagnoses (conditions to be ruled out BEFORE sleep study) to consider during the DIAGNOSTIC (my bold)process for Sleep apnea:

    •Cheyne-Stokes respiration
    •Gastroesophageal reflux disease
    •Congestive heart failure
    •Night-time asthma
    •Chronic fatigue syndrome
    •Nocturnal frontal lobe epilepsy
    •Other sleep disorders
    •Psychiatric disorder
    •Upper airway obstruction
    •Nocturnal seizures

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