# A Multifaceted Approach to Seizure Management in a Patient With Down Syndrome, Obstructive Sleep Apnea, and Hypothyroidism: A Case Report

## TL;DR

A 16-year-old with Down syndrome had fewer seizures after treating sleep apnea and adjusting medications.

## Contribution

This case highlights OSA as a seizure trigger in Down syndrome patients and the effectiveness of CPAP therapy.

## Key findings

- CPAP therapy reduced seizure frequency in a Down syndrome patient with OSA.
- Treating OSA and adjusting medications improved seizure control in a complex case.
- OSA is a significant factor in seizure management for individuals with Down syndrome.

## Abstract

In this case study, a 16-year-old male with Down syndrome (DS) faced persistent nocturnal seizures despite anti-seizure medications and treatment for concurrent hypothyroidism. Obstructive sleep apnea (OSA), a common issue in patients with Down syndrome, was revealed as a trigger of the seizures. The implementation of continuous positive airway pressure (CPAP) therapy along with medication adjustments led to a significant decrease in seizure frequency, highlighting the importance of a comprehensive approach to seizure management in patients with complex medical conditions.