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Multiple system atrophy manifesting as complex sleep-disordered breathing.
Auris Nasus Larynx. 2010 Feb; 37(1):110-3.AN

Abstract

A 56-year-old female presented with multiple system atrophy (MSA) and pure obstructive sleep-disordered breathing (SDB) with an apnea hypopnea index of 29.6/h. However, after the elimination of obstructive events, central apneas emerged with a central apnea index (CAI) of 45.3/h as determined by continuous positive airway pressure titration. Adaptive servoventilation titration decreased the CAI; however, it remained at 14.2/h. There are two different underlying causes of SDB in MSA patients, one is upper airway obstruction at the glottic level, and the other is central components owing to the degeneration of the pontomedullary respiratory centers. Clinicians should recognize that whether a patient has central apnea cannot be determined by diagnostic polysomnography but only after the elimination of upper airway obstruction in MSA patients.

Authors+Show Affiliations

Department of Otolaryngology, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo 173-8605, Japan. suzukima@med.teikyo-u.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19398176

Citation

Suzuki, Masaaki, et al. "Multiple System Atrophy Manifesting as Complex Sleep-disordered Breathing." Auris, Nasus, Larynx, vol. 37, no. 1, 2010, pp. 110-3.
Suzuki M, Saigusa H, Shibasaki K, et al. Multiple system atrophy manifesting as complex sleep-disordered breathing. Auris Nasus Larynx. 2010;37(1):110-3.
Suzuki, M., Saigusa, H., Shibasaki, K., & Kodera, K. (2010). Multiple system atrophy manifesting as complex sleep-disordered breathing. Auris, Nasus, Larynx, 37(1), 110-3. https://doi.org/10.1016/j.anl.2009.02.009
Suzuki M, et al. Multiple System Atrophy Manifesting as Complex Sleep-disordered Breathing. Auris Nasus Larynx. 2010;37(1):110-3. PubMed PMID: 19398176.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Multiple system atrophy manifesting as complex sleep-disordered breathing. AU - Suzuki,Masaaki, AU - Saigusa,Hanako, AU - Shibasaki,Kana, AU - Kodera,Kazuoki, Y1 - 2009/04/26/ PY - 2008/11/02/received PY - 2009/01/17/revised PY - 2009/02/07/accepted PY - 2009/4/29/entrez PY - 2009/4/29/pubmed PY - 2010/3/20/medline SP - 110 EP - 3 JF - Auris, nasus, larynx JO - Auris Nasus Larynx VL - 37 IS - 1 N2 - A 56-year-old female presented with multiple system atrophy (MSA) and pure obstructive sleep-disordered breathing (SDB) with an apnea hypopnea index of 29.6/h. However, after the elimination of obstructive events, central apneas emerged with a central apnea index (CAI) of 45.3/h as determined by continuous positive airway pressure titration. Adaptive servoventilation titration decreased the CAI; however, it remained at 14.2/h. There are two different underlying causes of SDB in MSA patients, one is upper airway obstruction at the glottic level, and the other is central components owing to the degeneration of the pontomedullary respiratory centers. Clinicians should recognize that whether a patient has central apnea cannot be determined by diagnostic polysomnography but only after the elimination of upper airway obstruction in MSA patients. SN - 1879-1476 UR - https://www.unboundmedicine.com/medline/citation/19398176/Multiple_system_atrophy_manifesting_as_complex_sleep_disordered_breathing_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0385-8146(09)00087-X DB - PRIME DP - Unbound Medicine ER -