Evidence map›Paper›PMID 40948704›Full record

ArticleClinical case reports2025

Paradoxical Insomnia Versus Atypical Obstructive Sleep Apnea or Mixed Disorder? Case Report and Literature Review.

Alden Xavier Haslam, Adrián Coulson Romero, Camila Angélica Espinoza Torrez, Manuel Ampié Espinoza

Abstract read
In one paragraph

Article in Clinical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alden Xavier HaslamHospital Escuela Alejandro Dávila Bolaños Managua Nicaragua.ORCID https://orcid.org/0009-0001-9839-1825
Adrián Coulson RomeroHospital Escuela Manolo Morales Peralta Managua Nicaragua.ORCID https://orcid.org/0009-0008-0987-4624
Camila Angélica Espinoza TorrezHospital Escuela Alejandro Dávila Bolaños Managua Nicaragua.ORCID https://orcid.org/0009-0001-0692-1412
Manuel Ampié EspinozaClínica Neurofarma Managua Nicaragua.ORCID https://orcid.org/0009-0008-6534-6949

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Paradoxical insomnia remains an underdiagnosed condition due to its subjective nature and diagnostic challenges. Clinicians should suspect it in patients with severe sleep complaints but minimal daytime impairment, particularly those resistant to multiple treatments. Coexisting disorders, such as obstructive sleep apnea, must be considered to ensure an accurate diagnosis and appropriate management.

Indexed as

chronic insomniaobstructive sleep apneaOSAparadoxical insomniasleep disorder

Identifiers

PMID40948704
PMCPMC12422947

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.