An unusual case of yawning during sleep associated with sleep bruxism and obstructive sleep apnea–a case report
The current case report presents an unusual coincidence of yawning and sleep bruxism during sleep in a patient with obstructive sleep apnea (OSA). Both conditions were previously defined in the literature as challenging, multidisciplinary problems with complex and little-known pathogenesis. A 71-yea...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-06-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1596512/full |
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| author | Monika Michałek Karol Marschollek Wiktor Kuliczkowski Marta Waliszewska-Prosół Anna Wojakowska Katarzyna Madziarska Helena Martynowicz |
| author_facet | Monika Michałek Karol Marschollek Wiktor Kuliczkowski Marta Waliszewska-Prosół Anna Wojakowska Katarzyna Madziarska Helena Martynowicz |
| author_sort | Monika Michałek |
| collection | DOAJ |
| description | The current case report presents an unusual coincidence of yawning and sleep bruxism during sleep in a patient with obstructive sleep apnea (OSA). Both conditions were previously defined in the literature as challenging, multidisciplinary problems with complex and little-known pathogenesis. A 71-year-old man with a history of coronary artery disease underwent video-polysomnography (vPSG) due to the suspicion of OSA. vPSG results confirmed severe obstructive sleep apnea, sleep bruxism, and frequent episodes of yawning during sleep. Therapeutic intervention included positive airway pressure therapy and resulted in the resolution of apneic events. Interestingly, PAP titration also reduced the frequency of episodes of sleep bruxism and yawning. Results of the current case report suggest a temporal relationship between desaturation and yawning episodes, thus indicating the hypoxic basis for this behavior. Resolution of yawning after PAP therapy appears consistent with this theory. An instrumental approach to OSA diagnosis supplemented by video-recording allowed the diagnosis of the unusual presence of yawning during sleep. |
| format | Article |
| id | doaj-art-ed787e60c2ac4d3781a5d123783109b9 |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-ed787e60c2ac4d3781a5d123783109b92025-08-20T03:30:34ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-06-011210.3389/fmed.2025.15965121596512An unusual case of yawning during sleep associated with sleep bruxism and obstructive sleep apnea–a case reportMonika Michałek0Karol Marschollek1Wiktor Kuliczkowski2Marta Waliszewska-Prosół3Anna Wojakowska4Katarzyna Madziarska5Helena Martynowicz6Department of Diabetology, Hypertension and Internal Diseases, Wroclaw Medical University, Wroclaw, PolandDepartment of Neurology, Wroclaw Medical University, Wroclaw, PolandClinical Department of Cardiology, Department of Cardiology, Institute of Heart Diseases, Faculty of Medicine, Wroclaw Medical University, Wroclaw, PolandDepartment of Neurology, Wroclaw Medical University, Wroclaw, PolandDepartment of Diabetology, Hypertension and Internal Diseases, Wroclaw Medical University, Wroclaw, PolandDepartment of Diabetology, Hypertension and Internal Diseases, Wroclaw Medical University, Wroclaw, PolandDepartment of Diabetology, Hypertension and Internal Diseases, Wroclaw Medical University, Wroclaw, PolandThe current case report presents an unusual coincidence of yawning and sleep bruxism during sleep in a patient with obstructive sleep apnea (OSA). Both conditions were previously defined in the literature as challenging, multidisciplinary problems with complex and little-known pathogenesis. A 71-year-old man with a history of coronary artery disease underwent video-polysomnography (vPSG) due to the suspicion of OSA. vPSG results confirmed severe obstructive sleep apnea, sleep bruxism, and frequent episodes of yawning during sleep. Therapeutic intervention included positive airway pressure therapy and resulted in the resolution of apneic events. Interestingly, PAP titration also reduced the frequency of episodes of sleep bruxism and yawning. Results of the current case report suggest a temporal relationship between desaturation and yawning episodes, thus indicating the hypoxic basis for this behavior. Resolution of yawning after PAP therapy appears consistent with this theory. An instrumental approach to OSA diagnosis supplemented by video-recording allowed the diagnosis of the unusual presence of yawning during sleep.https://www.frontiersin.org/articles/10.3389/fmed.2025.1596512/fullyawningsleep bruxismobstructive sleep apneapolysomnographycase report |
| spellingShingle | Monika Michałek Karol Marschollek Wiktor Kuliczkowski Marta Waliszewska-Prosół Anna Wojakowska Katarzyna Madziarska Helena Martynowicz An unusual case of yawning during sleep associated with sleep bruxism and obstructive sleep apnea–a case report Frontiers in Medicine yawning sleep bruxism obstructive sleep apnea polysomnography case report |
| title | An unusual case of yawning during sleep associated with sleep bruxism and obstructive sleep apnea–a case report |
| title_full | An unusual case of yawning during sleep associated with sleep bruxism and obstructive sleep apnea–a case report |
| title_fullStr | An unusual case of yawning during sleep associated with sleep bruxism and obstructive sleep apnea–a case report |
| title_full_unstemmed | An unusual case of yawning during sleep associated with sleep bruxism and obstructive sleep apnea–a case report |
| title_short | An unusual case of yawning during sleep associated with sleep bruxism and obstructive sleep apnea–a case report |
| title_sort | unusual case of yawning during sleep associated with sleep bruxism and obstructive sleep apnea a case report |
| topic | yawning sleep bruxism obstructive sleep apnea polysomnography case report |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1596512/full |
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