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What Causes Involuntary Exhale When I Lay Down?

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Posted on Sat, 28 Jun 2014
Question: Hi, i experience some type of involuntary exhale when i lay down associated with a kind of spasm which is very aggressive and can literally lift me off the bed. A burst of air just seems to burst out through my nose or mouth unexpectantly and this can happen at its worst around 50 - 80 times a night. I cant sleep during these episodes. it also is worse if i try to sleep on my back or on my left side.
These
doctor
Answered by Dr. Sumit Bhatti (3 hours later)
Brief Answer:
As below:

Detailed Answer:
Hi,

Thank you for your query.

1. This seems to be a form of Parasomnia.

2. The following conditions need to be ruled out:
a. Propriospinal Myoclonus
b. Morvan's Syndrome
c. Acquired Neuromyotonia
d. Cramp Fasciculation Syndrome
e. Epilepsy
f. Limbic Encephalitis

3. The following tests should be done:
a. Full blood tests, cardio-respiratory check-up
b. NMDA (N-Methyl D-Aspartate) receptor antibody test
c. VGKC (Voltage Gated Potassium Channel) receptor antibody test
d. EEG (ElectroEncephaloGram), NCS (Nerve Conduction Studies)
e. HRCT (High Resolution) Scan Neck and Chest
f. Videosomnography
g. Neurology opinion

4. You may follow up with these test results for further treatment options.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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What Causes Involuntary Exhale When I Lay Down?

Brief Answer: As below: Detailed Answer: Hi, Thank you for your query. 1. This seems to be a form of Parasomnia. 2. The following conditions need to be ruled out: a. Propriospinal Myoclonus b. Morvan's Syndrome c. Acquired Neuromyotonia d. Cramp Fasciculation Syndrome e. Epilepsy f. Limbic Encephalitis 3. The following tests should be done: a. Full blood tests, cardio-respiratory check-up b. NMDA (N-Methyl D-Aspartate) receptor antibody test c. VGKC (Voltage Gated Potassium Channel) receptor antibody test d. EEG (ElectroEncephaloGram), NCS (Nerve Conduction Studies) e. HRCT (High Resolution) Scan Neck and Chest f. Videosomnography g. Neurology opinion 4. You may follow up with these test results for further treatment options. I hope that I have answered your query. If you have any further questions, I will be available to answer them. Regards.