Central sleep apnea in type I Chiari malformation Pathophysiological aspects and therapeutic strategies

被引:0
作者
Herkenrath, Simon [1 ]
Randerath, Winfried [1 ]
机构
[1] Univ Cologne, Inst Pneumol, Krankenhaus Bethanien gGmbH, Aufderhoher Str 169-175, D-42699 Solingen, Germany
来源
SOMNOLOGIE | 2020年 / 24卷 / 01期
关键词
Chemosensitivity; Sleep-disordered breathing; Carbon dioxide; Obesity; Adaptive servoventilation; IMPROVEMENT; PRESSURE; CHILDREN; SURGERY;
D O I
10.1007/s11818-020-00236-x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Chiari malformation type I (CM I) shows a high prevalence of sleep-related breathing disturbances (SRBDs). These can be of obstructive origin or due to impaired respiratory control. Pathophysiological causes are insufficiently evaluated. Randomized controlled studies for SRBD therapy in CM I do not exist. We describe a case of severe, predominantly central sleep apnea due to increased carbon dioxide chemosensitivity, which was treated successfully with adaptive servoventilation.
引用
收藏
页码:21 / 27
页数:7
相关论文
共 23 条
[1]   The effects of posterior fossa decompressive surgery in adult patients with Chiari malformation and sleep apnea Clinical article [J].
Botelho, Ricardo Vieira ;
Azeredo Bittencourt, Lia Rita ;
Rotta, Jose Marcus ;
Tufik, Sergio .
JOURNAL OF NEUROSURGERY, 2010, 112 (04) :800-807
[2]   A prospective controlled study of sleep respiratory events in patients with craniovertebral junction malformation [J].
Botelho, RV ;
Bittencourt, LRA ;
Rotta, JM ;
Tufik, S .
JOURNAL OF NEUROSURGERY, 2003, 99 (06) :1004-1009
[3]   Type I Arnold-Chiari malformation with bronchiectasis, respiratory failure, and sleep disordered breathing: a case report [J].
Campisi, Raffaele ;
Ciancio, Nicola ;
Bivona, Laura ;
Di Maria, Annalisa ;
Di Maria, Giuseppe .
MULTIDISCIPLINARY RESPIRATORY MEDICINE, 2013, 8
[4]   Chiari malformation and sleep related breathing disorders [J].
Dauvilliers, Y. ;
Stal, V. ;
Abril, B. ;
Coubes, P. ;
Bobin, S. ;
Touchon, J. ;
Escourrou, P. ;
Parker, F. ;
Bourgin, P. .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2007, 78 (12) :1344-1348
[5]   Sleep-disordered breathing in patients with Chiari malformation: Improvement after surgery [J].
Gagnadoux, F ;
Meslier, N ;
Svab, I ;
Menei, P ;
Racineux, JL .
NEUROLOGY, 2006, 66 (01) :136-138
[6]   Sleep apnea and REM sleep behavior disorder in patients with Chiari malformations [J].
Henriques-Filho, Paulo Sergio A. ;
Pratesi, Riccardo .
ARQUIVOS DE NEURO-PSIQUIATRIA, 2008, 66 (2B) :344-349
[7]  
Herkenrath S, 2016, KLINIKARZT, V45, P546, DOI [10.1055/s-0042-120115, DOI 10.1055/S-0042-120115]
[8]   Bilevel positive airway pressure worsens central Apneas during sleep [J].
Johnson, KG ;
Johnson, DC .
CHEST, 2005, 128 (04) :2141-2150
[9]   MRI Findings and Sleep Apnea in Children With Chiari I Malformation [J].
Khatwa, Umakanth ;
Ramgopal, Sriram ;
Mylavarapu, Alexander ;
Prabhu, Sanjay P. ;
Smith, Edward ;
Proctor, Mark ;
Scott, Michael ;
Pai, Vidya ;
Zarowski, Marcin ;
Kothare, Sanjeev V. .
PEDIATRIC NEUROLOGY, 2013, 48 (04) :299-307
[10]   Obstructive and central sleep apnoea in Arnold-Chiari malformation: resolution following surgical decompression [J].
Khoa Tran ;
Hukins, Craig Andrew .
SLEEP AND BREATHING, 2011, 15 (03) :611-613