Central Sleep Apnea Syndrome Can Complicate Neuromyelitis Optica Spectrum Disorder: A Case Report

被引：3

作者：

Morelli, Celine ^{[1
]}

Aeby, Alec ^{[2
]}

Scaillet, Sonia ^{[1
,3
]}

Boitsios, Grammatina ^{[4
]}

Vens, Daphne ^{[5
,6
]}

Prigogine, Cynthia ^{[2
,3
]}

Biarent, Dominique ^{[5
]}

Vicinanza, Alfredo ^{[5
]}

机构：

[1] Univ Libre Bruxelles ULB, Hop Univ Enfants Reine Fabiola, Dept Pediat, Brussels, Belgium

[2] Univ Libre Bruxelles ULB, Hop Univ Enfants Reine Fabiola, Div Pediat Neurol, Brussels, Belgium

[3] Univ Libre Bruxelles ULB, Hop Univ Enfants Reine Fabiola, Dept Sleep Med, Brussels, Belgium

[4] Univ Libre Bruxelles ULB, Hop Univ Enfants Reine Fabiola, Dept Pediat Med Imaging, Brussels, Belgium

[5] Univ Libre Bruxelles ULB, Hop Univ Enfants Reine Fabiola, Pediat Intens Care Unit, Brussels, Belgium

[6] Univ Libre Bruxelles ULB, Hop Univ Enfants Reine Fabiola, Dept Chron Noninvas Ventilat, Brussels, Belgium

来源：

FRONTIERS IN PEDIATRICS | 2020年 / 8卷

关键词：

neuromyelitis optica spectrum disorder; central sleep apnea syndrome; area postrema syndrome; children; noninvasive ventilation; sleep-disordered breathing; case report;

D O I：

10.3389/fped.2020.547474

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Neuromyelitis optica spectrum disorder is a rare, relapsing autoimmune disease of the central nervous system. Various initial presentations can delay diagnosis and treatment. A 14-year-old girl was admitted to the emergency department owing to respiratory insufficiency. Repeated history-taking and neuroimaging revealed an area postrema syndrome. A diagnosis of neuromyelitis optica spectrum disorder with positive aquaporin-4 antibodies has finally been established. The patient improved significantly with immunosuppressive therapy. However, her 3-year follow-up still showed sleep-disordered breathing requiring nocturnal bilevel positive airway pressure therapy. We report an original case of NMOSD leading to persistent central sleep apnea syndrome.

引用

页数：5

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