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Isolated central sleep apnea in type I Chiari malformation: improvement after surgery.
Pediatr Pulmonol. 2010 Nov; 45(11):1141-4.PP

Abstract

Sleep apnea is a rare but well-known clinical feature of disorders of the craniocervical junction. It may be obstructive or central in nature, and rarely presents without other neurological symptoms. We report the cases of two children, presenting with isolated central sleep apnea leading to a diagnosis of type I Chiari malformation. Surgical treatment resulted in a dramatic improvement in respiratory parameters during sleep, both clinically and on polysomnography. We discuss this uncommon presentation of type I Chiari malformation and suggest that it be considered in the differential diagnosis of central sleep apnea in children, as posterior fossa decompression may lead to significant clinical improvement.

Authors+Show Affiliations

Section of Neurosurgery, University of Manitoba Winnipeg, Manitoba, Canada.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20848584

Citation

Spence, Jessica, et al. "Isolated Central Sleep Apnea in Type I Chiari Malformation: Improvement After Surgery." Pediatric Pulmonology, vol. 45, no. 11, 2010, pp. 1141-4.
Spence J, Pasterkamp H, McDonald PJ. Isolated central sleep apnea in type I Chiari malformation: improvement after surgery. Pediatr Pulmonol. 2010;45(11):1141-4.
Spence, J., Pasterkamp, H., & McDonald, P. J. (2010). Isolated central sleep apnea in type I Chiari malformation: improvement after surgery. Pediatric Pulmonology, 45(11), 1141-4. https://doi.org/10.1002/ppul.21294
Spence J, Pasterkamp H, McDonald PJ. Isolated Central Sleep Apnea in Type I Chiari Malformation: Improvement After Surgery. Pediatr Pulmonol. 2010;45(11):1141-4. PubMed PMID: 20848584.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Isolated central sleep apnea in type I Chiari malformation: improvement after surgery. AU - Spence,Jessica, AU - Pasterkamp,Hans, AU - McDonald,Patrick J, PY - 2010/9/18/entrez PY - 2010/9/18/pubmed PY - 2011/2/17/medline SP - 1141 EP - 4 JF - Pediatric pulmonology JO - Pediatr Pulmonol VL - 45 IS - 11 N2 - Sleep apnea is a rare but well-known clinical feature of disorders of the craniocervical junction. It may be obstructive or central in nature, and rarely presents without other neurological symptoms. We report the cases of two children, presenting with isolated central sleep apnea leading to a diagnosis of type I Chiari malformation. Surgical treatment resulted in a dramatic improvement in respiratory parameters during sleep, both clinically and on polysomnography. We discuss this uncommon presentation of type I Chiari malformation and suggest that it be considered in the differential diagnosis of central sleep apnea in children, as posterior fossa decompression may lead to significant clinical improvement. SN - 1099-0496 UR - https://www.unboundmedicine.com/medline/citation/20848584/Isolated_central_sleep_apnea_in_type_I_Chiari_malformation:_improvement_after_surgery_ DB - PRIME DP - Unbound Medicine ER -