Chiari malformation and central sleep apnea syndrome: efficacy of treatment with adaptive servo-ventilation

The Chiari malformation type I (CM-I) has been associated with sleep-disordered breathing, especially central sleep apnea syndrome. We report the case of a 44-year-old female with CM-I who was referred to our sleep laboratory for suspected sleep apnea. The patient had undergone decompressive surgery...

Descripción completa

Detalles Bibliográficos
Autores principales: do Vale, Jorge Marques, Silva, Eloísa, Pereira, Isabel Gil, Marques, Catarina, Sanchez-Serrano, Amparo, Torres, António Simões
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Pneumologia e Tisiologia 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263339/
https://www.ncbi.nlm.nih.gov/pubmed/25410846
http://dx.doi.org/10.1590/S1806-37132014000500014
Descripción
Sumario:The Chiari malformation type I (CM-I) has been associated with sleep-disordered breathing, especially central sleep apnea syndrome. We report the case of a 44-year-old female with CM-I who was referred to our sleep laboratory for suspected sleep apnea. The patient had undergone decompressive surgery 3 years prior. An arterial blood gas analysis showed hypercapnia. Polysomnography showed a respiratory disturbance index of 108 events/h, and all were central apnea events. Treatment with adaptive servo-ventilation was initiated, and central apnea was resolved. This report demonstrates the efficacy of servo-ventilation in the treatment of central sleep apnea syndrome associated with alveolar hypoventilation in a CM-I patient with a history of decompressive surgery.

Ejemplares similares