Chiari malformation and central sleep apnea syndrome: efficacy of treatment with adaptive servo-ventilation

Jornal Brasileiro de Pneumologia

卷:40

关键词: Apneia do sono tipo central;    Malformação de Arnold-Chiari;    Ventilação não invasiva;   

DOI  :  10.1590/S1806-37132014000500014

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown