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Abstract #1189

Brain bioenergetics as markers of vigilance failure in obstructive sleep apnoea

Caroline D Rae1, Haider Naqvi2, Andrew Vakulin2,3, Angela D'Rozario2, Michael Green1, Hannah Openshaw2, Keith Wong2,4, Jong-Won Kim5, Delwyn J Bartlett6, Doug McEvoy7, and Ronald R Grunstein6

1The University of New South Wales, Randwick, Australia, 2NHMRC Centers of Research Excellence, CIRUS and NeuroSleep, Woolcock Institute of Medical Research, The University of Sydney, Sydney, Australia, 33. Adelaide Institute for Sleep Health: A Flinders Centre of Research Excellence, School of Medicine, Flinders University, Adelaide, Australia, 4Sydney Medical School, The University of Sydney, Sydney, Australia, 5School of Physics, The University of Sydney, Sydney, Australia, 6NeuroSleep and Woolcock Institute of Medical Research, The University of Sydney, Sydney, Australia, 7Adelaide Institute for Sleep Health: A Flinders Centre of Research Excellence, School of Medicine, Flinders University, Adelaide, Australia

Here, we investigated the potential for MRS/MRI markers to differentiate between phenotypes of obstructive sleep apnea patients who are vulnerable, versus resistant to vigilance failure, an indicator of driving impairment and accident risk. Vulnerable patients (N = 15) and resistant patients (N = 30) were differentiated on the basis of left orbito-frontal glutamate and aspartate and also anterior cingulate glutathione levels. There was a trend towards lower orbitofrontal creatine levels in vulnerable OSA subjects, but no group differences in brain volumes.

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