Sleep-related
laryngospasm is a rare cause of
sleep-related
breathing disturbance which produce
stridor or interruption of airflow associated with a distinct
polysomnography arousal pattern. We
report a case of a sixty-five-year-old
woman who was referred for awakenings with abrupt respiratory distress and
fear of
suffocation. A
polysomnography showed a total or near-total cessation of airflow, followed by
choking and
stridor for several minutes with a rapid increase in
heart rate. Temporary
hoarseness was seen. The
esophageal pH monitoring indicated
acid reflux, which confirmed
gastroesophageal reflux disease. The protonpump inhibitor eliminated the
sleep-related
laryngospasm.