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We present a case of a patient with post traumatic stress disorder related nightmares with REM predominant obstructive sleep apnea (OSA) who was treated with nasal expiratory positive airway pressure (EPAP) device. EPAP therapy was successful in reducing his nightmares associated with dream enactment. This case illustrates EPAP therapy may be an effective alternative therapy for nightmares in certain individuals with REM predominate sleep apnea.
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Gandotra et al. (2024) studied this question.
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