Nocturnal problems in postpolio syndrome: sleep apnea symptoms and nocturia

[Postpolio syndrome. Neurologic and psychiatric aspects]

Postpolio syndrome is defined as a clinical syndrome of new pareses in individuals who had been affected by acute paralytic poliomyelitis years before. The objective of this study was to describe neurologic and psychiatric signs of the disease. We evaluated the clinical signs and treatment of 16 patients with postpolio syndrome. Possible symptoms of depression were evaluated by the Hamilton and Geriatric Depression Scales. Postpolio syndrome manifested at a median age of 57.5 years (range 25-73) in a median of 41 years (range 16-70 years) after acute poliomyelitis. Muscles already affected during acute poliomyelitis were affected in all patients with postpolio syndrome. Six of 16 patients (37.5%) developed paresis in muscles formerly not affected by acute poliomyelitis. In eight of 15 patients (53%), depressive episodes were recognized according to the ICD-10 criteria. Symptoms of depression should be recognized in patients with postpolio syndrome and incorporated in therapy based on physiotherapy.

Assisting patients using positive airway pressure therapy

The number of patients with sleep apnea treated by home care nurses is increasing. The most common treatment is with at-home positive airway pressure (PAP). This article presents an overview of PAP, including its purpose, correct application, and hints for assisting patients when they experience problems. Additionally, resources for further information on this therapy for sleep apnea are provided.