Insomnio y apnea obstructiva del sueño comórbidos (COMISA) con bruxismo y movimientos periódicos de extremidades

Domingo Perez Bejarano

doi:10.18004/mem.iics/1812-9528/2026.e24132601

Autores/as

Domingo Perez Bejarano Ministerio de Salud Pública y Bienestar Social, Hospital General de Luque. https://orcid.org/0000-0002-9842-4789

DOI:

https://doi.org/10.18004/mem.iics/1812-9528/2026.e24132601

Palabras clave:

Apnea del sueño, insomnio, calidad del sueño

Resumen

Se presenta un caso clínico de COMISA (trastorno combinado de insomnio y apnea obstructiva del sueño), junto con bruxismo y movimientos periódicos de las extremidades. Se destaca la complejidad diagnóstica y terapéutica de esta condición, mediante el uso de herramientas clínicas y polisomnografía. Los hallazgos muestran fragmentación del sueño, hipoxia severa, y actividad muscular anormal. Se propone un manejo multidisciplinario que incluye pérdida de peso, CPAP y terapia cognitivo-conductual. Se resalta la alta prevalencia de trastornos del sueño en países latinoamericanos, la relación bidireccional entre insomnio y AOS, y la importancia de detectar comorbilidades. Finalmente, se puntualiza la necesidad de abordaje multidisciplinario, ya que estos trastornos se asocian a riesgo cardiovascular, depresión y disminución de la productividad.

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