Coexisting central and obstructive sleep apnea and mild diurnal hypoventilation associated with unilateral diaphragmatic dysfunction and brainstem lesion.
BIPAP
Coexisting sleep apnea
Crescendo-decrescendo periodic breathing
Diaphragmatic paralysis
Diurnal hypoventilation
Journal
Neurophysiologie clinique = Clinical neurophysiology
ISSN: 1769-7131
Titre abrégé: Neurophysiol Clin
Pays: France
ID NLM: 8804532
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
07
03
2020
revised:
05
06
2020
accepted:
05
06
2020
pubmed:
12
7
2020
medline:
18
9
2021
entrez:
12
7
2020
Statut:
ppublish
Résumé
A 63-year old man was diagnosed with coexisting central (CSA) and obstructive (OSA) sleep apnea, crescendo-decrescendo (CD) periodic breathing (PB), frequent sustained desaturation hypoxemia events related to prolonged hypopnea and mild diurnal hypoventilation. Unilateral diaphragmatic dysfunction (DD) related to diabetic phrenic neuropathy was identified. Magnetic resonance imaging (MRI) scans of the head disclosed frontal-subcortical white matter (WM) lesions, while brainstem MRI found a small punctiform defect in the median area of the pons. Continuous positive airway pressure (CPAP) therapy was ineffective, while a one-month bi-level positive airway pressure (BIPAP) trial provided better outcomes.
Identifiants
pubmed: 32650962
pii: S0987-7053(20)30059-9
doi: 10.1016/j.neucli.2020.06.003
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
375-381Informations de copyright
Copyright © 2020 Elsevier Masson SAS. All rights reserved.