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Sleep disturbance: a forgotten syndrome in patients with Chiari I malformation.
Neurologia. 2014 Jun; 29(5):294-304.N

Abstract

INTRODUCTION

Chiari type I malformation (CM-I) is characterised by caudal ectopia of the cerebellar tonsils through the foramen magnum. This is associated with brain stem, high spinal cord, and cranial nerve compression phenomena. The most frequent symptoms are occipital headaches and dizziness. Less well-known symptoms are sleep disorders and nocturnal respiratory abnormalities.

SOURCES

MEDLINE and information from patients evaluated at the Neurosurgery and Clinical Neurophysiology Departments at Hospital Universitario Vall d'Hebron.

DEVELOPMENT

Review article based on data obtained from MEDLINE articles since 1966, using combinations of the following keywords: «Chiari malformation» or «Arnold-Chiari malformation» and «sleep apnea» or «sleep disorders».

CONCLUSIONS

CM-I patients show a higher prevalence of sleep disorders than that observed in the general population. Some studies report a 50% prevalence of sleep apnea-hypopnea syndrome (SAHS), probably associated with sudden death in some cases. These results support analysing sleep respiratory parameters in theses patients. Identifying SAHS symptoms may help optimise treatment, thereby improving quality of life and prognosis.

Authors+Show Affiliations

Neurofisiología Clínica, Unidad de Sueño, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España. Electronic address: doctorferre@gmail.com.Servicio de Neurocirugía, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España; Unidad de Investigación de Neurocirugía y Neurotraumatología (UNINN), Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España.Unidad de Investigación de Neurocirugía y Neurotraumatología (UNINN), Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España.Unidad de Investigación de Neurocirugía y Neurotraumatología (UNINN), Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España.Neurofisiología Clínica, Unidad de Sueño, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España.Servicio de Neurocirugía, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España; Unidad de Investigación de Neurocirugía y Neurotraumatología (UNINN), Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng spa

PubMed ID

21420201

Citation

Ferré Masó, A, et al. "Sleep Disturbance: a Forgotten Syndrome in Patients With Chiari I Malformation." Neurologia (Barcelona, Spain), vol. 29, no. 5, 2014, pp. 294-304.
Ferré Masó A, Poca MA, de la Calzada MD, et al. Sleep disturbance: a forgotten syndrome in patients with Chiari I malformation. Neurologia. 2014;29(5):294-304.
Ferré Masó, A., Poca, M. A., de la Calzada, M. D., Solana, E., Romero Tomás, O., & Sahuquillo, J. (2014). Sleep disturbance: a forgotten syndrome in patients with Chiari I malformation. Neurologia (Barcelona, Spain), 29(5), 294-304. https://doi.org/10.1016/j.nrl.2011.01.008
Ferré Masó A, et al. Sleep Disturbance: a Forgotten Syndrome in Patients With Chiari I Malformation. Neurologia. 2014;29(5):294-304. PubMed PMID: 21420201.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sleep disturbance: a forgotten syndrome in patients with Chiari I malformation. AU - Ferré Masó,A, AU - Poca,M A, AU - de la Calzada,M D, AU - Solana,E, AU - Romero Tomás,O, AU - Sahuquillo,J, Y1 - 2011/03/21/ PY - 2010/02/08/received PY - 2010/12/13/accepted PY - 2011/3/23/entrez PY - 2011/3/23/pubmed PY - 2015/7/22/medline KW - Alteraciones del sueño KW - Apnea KW - Apneas KW - Arnold-Chiari malformation KW - Chiari malformation KW - Chiari malformation type I KW - Hipopneas KW - Hypopnea KW - Malformación de Arnold-Chiari KW - Malformación de Chiari KW - Malformación de Chiari tipo I KW - Sleep apnea syndrome KW - Sleep disorders KW - Síndrome de apnea del sueño SP - 294 EP - 304 JF - Neurologia (Barcelona, Spain) JO - Neurologia VL - 29 IS - 5 N2 - INTRODUCTION: Chiari type I malformation (CM-I) is characterised by caudal ectopia of the cerebellar tonsils through the foramen magnum. This is associated with brain stem, high spinal cord, and cranial nerve compression phenomena. The most frequent symptoms are occipital headaches and dizziness. Less well-known symptoms are sleep disorders and nocturnal respiratory abnormalities. SOURCES: MEDLINE and information from patients evaluated at the Neurosurgery and Clinical Neurophysiology Departments at Hospital Universitario Vall d'Hebron. DEVELOPMENT: Review article based on data obtained from MEDLINE articles since 1966, using combinations of the following keywords: «Chiari malformation» or «Arnold-Chiari malformation» and «sleep apnea» or «sleep disorders». CONCLUSIONS: CM-I patients show a higher prevalence of sleep disorders than that observed in the general population. Some studies report a 50% prevalence of sleep apnea-hypopnea syndrome (SAHS), probably associated with sudden death in some cases. These results support analysing sleep respiratory parameters in theses patients. Identifying SAHS symptoms may help optimise treatment, thereby improving quality of life and prognosis. SN - 1578-1968 UR - https://www.unboundmedicine.com/medline/citation/21420201/Sleep_disturbance:_a_forgotten_syndrome_in_patients_with_Chiari_I_malformation_ L2 - http://www.elsevier.es/en/linksolver/ft/pii/S0213-4853(11)00014-4 DB - PRIME DP - Unbound Medicine ER -