New Diagnosis of Obstructive Sleep Apnea Following Anterior Cervical Discectomy Complicated by Rheumatoid Arthritis: A Case Report

• Published in: Curēus (Palo Alto, CA) Vol. 12; no. 3; p. e7439
• Main Authors: Wasey, Waiz, Festic, Emir, Sapra, Amit, Rafi, Taaha, Bhandari, Priyanka
• Format: Journal Article
• Language: English
• Published: United States Cureus Inc 27-03-2020; Cureus
• Subjects: Case reports; Dysphagia; Family/General Practice; Magnetic resonance imaging; Medical diagnosis; Pain; Rheumatoid arthritis; Sleep apnea; Sleep disorders; Vertebrae; United States > US; Illinois; obstructive sleep apnea; worsening obstructive sleep apnea (osa); neck pain; snoring; anterior cervical discectomy and fusion; radiculopathy; risk factors for obstructive sleep apnea (osa); rheumatoid arthritis; myelopathy
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.7439

Obstructive sleep apnea (OSA) is the most common variant of sleep-disordered breathing that often goes undiagnosed. OSA is characterized mainly by anatomical obstruction or partial collapse of upper airways during sleep. The obstruction is multifactorial, and a lesser-known fact is that damage to the pharyngeal plexus during head and neck procedures or placement of hardware in the cervical area can lead to narrowing or collapse of the upper airway. We present such a case of a 59-year-old female who developed new-onset OSA after undergoing anterior cervical discectomy and fusion (ACDF). The severity of OSA worsened with the progression of her rheumatoid arthritis (RA) in the cervical region. This case report aims to raise awareness of such an association among clinicians to enable them to screen appropriate patients for sleep-disordered breathing and treat them accordingly.