62-year-old man, C6 tetraplegia, daytime sleepiness, loud snoring

A 62-year-old man with a 6-month-old C6 motor-incomplete tetraplegia from a motor vehicle accident is seen in the outpatient PM&R clinic. His wife reports significant daytime sleepiness, loud snoring with gasping, and frequent morning headaches. He also complains of difficulty falling and staying asleep, averaging only 4-5 hours per night.