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Chiari malformation and central sleep apnea syndrome: efficacy of treatment with adaptive servo-ventilation.
J Bras Pneumol. 2014 Oct; 40(5):574-8.JB

Abstract

The Chiari malformation type I (CM-I) has been associated with sleep-disordered breathing, especially central sleep apnea syndrome. We report the case of a 44-year-old female with CM-I who was referred to our sleep laboratory for suspected sleep apnea. The patient had undergone decompressive surgery 3 years prior. An arterial blood gas analysis showed hypercapnia. Polysomnography showed a respiratory disturbance index of 108 events/h, and all were central apnea events. Treatment with adaptive servo-ventilation was initiated, and central apnea was resolved. This report demonstrates the efficacy of servo-ventilation in the treatment of central sleep apnea syndrome associated with alveolar hypoventilation in a CM-I patient with a history of decompressive surgery.

Authors+Show Affiliations

Tondela-Viseu Hospital Center, Viseu, Portugal.Tondela-Viseu Hospital Center, Viseu, Portugal.Tondela-Viseu Hospital Center, Viseu, Portugal.Tondela-Viseu Hospital Center, Viseu, Portugal.Tondela-Viseu Hospital Center, Viseu, Portugal.Tondela-Viseu Hospital Center, Viseu, Portugal.

Pub Type(s)

Case Reports
Journal Article

Language

eng por

PubMed ID

25410846

Citation

Vale, Jorge Marques do, et al. "Chiari Malformation and Central Sleep Apnea Syndrome: Efficacy of Treatment With Adaptive Servo-ventilation." Jornal Brasileiro De Pneumologia : Publicacao Oficial Da Sociedade Brasileira De Pneumologia E Tisilogia, vol. 40, no. 5, 2014, pp. 574-8.
Vale JM, Silva E, Pereira IG, et al. Chiari malformation and central sleep apnea syndrome: efficacy of treatment with adaptive servo-ventilation. J Bras Pneumol. 2014;40(5):574-8.
Vale, J. M., Silva, E., Pereira, I. G., Marques, C., Sanchez-Serrano, A., & Torres, A. S. (2014). Chiari malformation and central sleep apnea syndrome: efficacy of treatment with adaptive servo-ventilation. Jornal Brasileiro De Pneumologia : Publicacao Oficial Da Sociedade Brasileira De Pneumologia E Tisilogia, 40(5), 574-8.
Vale JM, et al. Chiari Malformation and Central Sleep Apnea Syndrome: Efficacy of Treatment With Adaptive Servo-ventilation. J Bras Pneumol. 2014;40(5):574-8. PubMed PMID: 25410846.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chiari malformation and central sleep apnea syndrome: efficacy of treatment with adaptive servo-ventilation. AU - Vale,Jorge Marques do, AU - Silva,Eloísa, AU - Pereira,Isabel Gil, AU - Marques,Catarina, AU - Sanchez-Serrano,Amparo, AU - Torres,António Simões, PY - 2013/09/23/received PY - 2013/11/20/accepted PY - 2014/11/21/entrez PY - 2014/11/21/pubmed PY - 2015/5/16/medline SP - 574 EP - 8 JF - Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia JO - J Bras Pneumol VL - 40 IS - 5 N2 - The Chiari malformation type I (CM-I) has been associated with sleep-disordered breathing, especially central sleep apnea syndrome. We report the case of a 44-year-old female with CM-I who was referred to our sleep laboratory for suspected sleep apnea. The patient had undergone decompressive surgery 3 years prior. An arterial blood gas analysis showed hypercapnia. Polysomnography showed a respiratory disturbance index of 108 events/h, and all were central apnea events. Treatment with adaptive servo-ventilation was initiated, and central apnea was resolved. This report demonstrates the efficacy of servo-ventilation in the treatment of central sleep apnea syndrome associated with alveolar hypoventilation in a CM-I patient with a history of decompressive surgery. SN - 1806-3756 UR - https://www.unboundmedicine.com/medline/citation/25410846/Chiari_malformation_and_central_sleep_apnea_syndrome:_efficacy_of_treatment_with_adaptive_servo_ventilation_ L2 - https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132014000500574&lng=en&nrm=iso&tlng=en DB - PRIME DP - Unbound Medicine ER -