Sleep medications and alcohol abuse masked sleep apnea syndrome without sleepiness for over 30 years: A case report

This oversight led to prolonged use of benzodiazepines and self-medication with alcohol, worsening her condition. The case emphasizes the need for thorough assessments in patients with treatment-resistant insomnia, particularly to identify organic causes like SAS that may be contributing to their symptoms. This case highlights the importance of reevaluating patients whose insomnia does not improve with sleep medication.