Paradoxical Insomnia Versus Atypical Obstructive Sleep Apnea or Mixed Disorder? Case Report and Literature Review

Paradoxical insomnia remains an underdiagnosed condition due to its subjective nature and diagnostic challenges. Clinicians should suspect it in patients with severe sleep complaints but minimal daytime impairment, particularly those resistant to multiple treatments. Coexisting disorders, such as obstructive sleep apnea, must be considered to ensure an accurate diagnosis and appropriate management.

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Publication Details

Journal
Clinical Case Reports
Published
2025-09-01
DOI
https://doi.org/10.1002/ccr3.70883
Primary Topic
Sleep and related disorders
Type
article
Field-Weighted Citation Impact
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article

Paradoxical Insomnia Versus Atypical Obstructive Sleep Apnea or Mixed Disorder? Case Report and Literature Review

Adrián Coulson Romero, Manuel Rodríguez Espinoza, Alden Xavier Haslam, Camila Angélica Espinoza Torrez
Clinical Case Reports
Sleep and related disorders
article

Paradoxical Insomnia Versus Atypical Obstructive Sleep Apnea or Mixed Disorder? Case Report and Literature Review

Adrián Coulson Romero, Manuel Rodríguez Espinoza, Alden Xavier Haslam, Camila Angélica Espinoza Torrez
article en

Abstract

Paradoxical insomnia remains an underdiagnosed condition due to its subjective nature and diagnostic challenges. Clinicians should suspect it in patients with severe sleep complaints but minimal daytime impairment, particularly those resistant to multiple treatments. Coexisting disorders, such as obstructive sleep apnea, must be considered to ensure an accurate diagnosis and appropriate management.

Clinical Case ReportsVol. 13(9)
Central American University (NI), Hospital Infantil Manuel de Jesús Rivera (NI), Instituto Centroamericano de Administración de Empresas (CR)
Openalex Percentile: Top 75%
Sleep and related disorders
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