|A.||Start the patient on sumatriptan|
Do a PHQ-9 screen for depression
MRI of brain
Obstructive sleep apnea (OSA) happens when there is a respiratory effort against a closed airway.
It is usually associated with obesity, loud snoring, daytime sleepiness, and morning headaches. It is caused by excessive parapharyngeal tissue in adults.
Sleep apnea is diagnosed by polysomnography.
Treatment includes continuous positive airway pressure and weight loss if the patient is obese. The surgical approach includes uvulopalatopharyngoplasty. Adenotonsillectomy is curative in many patients.