Obstructive sleep apnea and idiopathic intracranial hypertension: a systematic review and meta-analysis.
Abu Bakar Butt, Afreen Ahmad, Bhadra Pandya et al.
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In 30 seconds
This systematic review and meta-analysis assessed the prevalence of obstructive sleep apnea (OSA) in adults with idiopathic intracranial hypertension (IIH) using polysomnography and the Berlin Questionnaire. Among 11 studies, the pooled prevalence of OSA in IIH patients was found to be 0.44 (95% CI: 0.26-0.63) based on PSG data, indicating a significant association that warrants further investigation.
Key findings
- The pooled prevalence of OSA in IIH patients was 0.44 (95% CI: 0.26-0.63) based on PSG.
- Excluding high-risk studies, the pooled prevalence increased to 0.53 (95% CI: 0.32-0.74).
- The pooled prevalence of OSA based on the Berlin Questionnaire was 0.65 (95% CI: 0.54-0.74).
- Funnel plot asymmetry indicated potential publication bias, and the certainty of evidence was very low.
Why it matters
Understanding the prevalence of OSA in patients with IIH is crucial for improving diagnosis and management strategies, as both conditions share overlapping risk factors and can significantly impact patient outcomes.
What to keep in mind
The certainty of evidence was very low, and there was potential publication bias indicated by funnel plot asymmetry.