1. Chiari malformation and central sleep apnea syndrome: efficacy of treatment with adaptive servo-ventilation.
- Author
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Vale JM, Silva E, Pereira IG, Marques C, Sanchez-Serrano A, and Torres AS
- Subjects
- Adult, Arnold-Chiari Malformation diagnosis, Female, Humans, Polysomnography, Sleep Apnea, Central diagnosis, Arnold-Chiari Malformation complications, Respiration, Artificial methods, Sleep Apnea, Central etiology, Sleep Apnea, Central therapy
- 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.
- Published
- 2014
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