A 55-year-old male with a history of stroke presents with loud snoring and excessive daytime sleepiness. He also reports difficulty in concentrating and memory issues. What might be the problem and what are the next steps?
This patient's symptoms suggest the possibility of Sleep Apnea, which can be more prevalent in individuals with a history of stroke. The next steps would include a formal sleep study to confirm the diagnosis. If sleep apnea is confirmed, initial treatment options could include lifestyle changes and CPAP therapy. A neurological consultation may also be helpful in managing his post-stroke symptoms and evaluating the role of sleep apnea in his cognitive issues.