We thank Drs Esquinas and Nilius for their interest in our article [1]. They suggest that transnasal insufflation (TNI) should not be used in severe OSA cases or in cases requiring intubation. We fully agree that the patient who can tolerate CPAP should use it, and we never proposed TNI as an alternative to intubation. Our results, however, suggest that TNI could be an alternative treatment to CPAP for sleep-disordered breathing (SDB) after a stroke.Concerning their comments on our methodology, patients with severe neurologic deficits, including aphasia, were excluded in this preliminary study. Nevertheless, there are nonverbal ways to communicate with patients with aphasia in order to determine their tolerance to TNI (or other treatment), and we believe that even aphasic patients could be included in a further protocol on TNI.We agree that it would have been interesting to have sleep studies prior to the stroke in these patients, but obviously, this could not be done in this protocol ...