Vol.100 No.12 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 100 No. 12 December 2007
An Adult Case of Obstructive Sleep Apnea Syndrome
Associated with Nocturnal Enuresis
Hiyoshi Tsurumoto and Takeshi Minami
(Asahino General Hospital)
Teiso Kiyama
(Tamana Central Hospital)
We report an adult case of obstructive sleep apnea syndrome (OSAS) associated with nocturnal enuresis. A 33-year-old man consulted our department complaining of nocturnal apnea and bed-wetting. Tonsillectomy and uvulopharyngoplasty was performed. The patient's apnea and bed-wetting disappeared after surgery. It is suggested that the nocturnal breathing state was improved post operatively, which resulted in an improvement in the hormonal and autonomic balance of the body and led to recovery from nocturnal enuresis. Additionally, there is a possibility that the rise in the intra-vesical pressure resulting from the unusual breathing movements in OSAS disappeared following surgery, and this contributed to the improvement in symptoms.
Key words : OSAS, tonsillectomy, polysomnography, vasopressin