 |
 |

Obstructive Sleep Apnea in Association With Posterior Fossa Neurologic Disease
Steven Adelman, DO;
Dudley S. Dinner, MD;
Hershel Goren, MD;
John Little, MD;
Paul Nickerson, MD
Arch Neurol. 1984;41(5):509-510.
Abstract
Sleep apnea in association with neurologic disease is uncommon, and its documentation with nocturnal polysomnography (PSG) is rare. Two patients with posterior fossa neurologic disease had obstructive and central sleep apnea on PSG. The first was a 40-year-old woman who experienced a respiratory arrest ten days after neurosurgical decompression of a cervical syrinx associated with syringobulbia. Nocturnal PSG demonstrated obstructive sleep apnea. Tracheostomy was performed and a second nocturnal PSG showed no sleep apnea. The second patient was a 76-year-old woman with daytime hypersomnolence, nocturnal choking spells, progressive spastic para-paresis, and left-sided cerebellar tremor. Neurologic evaluation led to the diagnosis of olivopontocerebellar degeneration. Nocturnal PSG showed multiple episodes of central and obstructive apnea. These cases support the hypothesis that central and obstructive sleep apnea can originate from a central mechanism.
Author Affiliations
From the Departments of Neurology (Drs Adelman, Dinner, and Goren), Neurosurgery (Dr Little), and Internal Medicine (Dr Nickerson), Cleveland Clinic Foundation.
Footnotes
Accepted for publication June 24, 1983.
Reprint requests to Department of Neurology, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44106 (Dr Dinner).
CiteULike Connotea Del.icio.us Digg Reddit Technorati Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Central hypoventilation with cerebellar cortical dystrophy and hypoplasia of arcuate nuclei of brainstem
Tsao et al.
BMJ Case Reports 2009;2009:bcr0720080422-bcr0720080422.
ABSTRACT
| FULL TEXT
Positional and sleep dyspnoea due to posterior exophytic ependymoma of the medulla oblongata
Maiuri and Esposito
J. Neurol. Neurosurg. Psychiatry 2005;76:804-804.
FULL TEXT
Medial vestibular nucleus mediates the cardiorespiratory responses to fastigial nuclear activation and hypercapnia
Hernandez et al.
J. Appl. Physiol. 2004;97:835-842.
ABSTRACT
| FULL TEXT
Sleep Disorders Caused by Brainstem Tumor: Case Report
Ioos et al.
J Child Neurol 2001;16:767-770.
ABSTRACT
Obstructive sleep apnea syndrome in a patient with medulloblastoma
Greenough et al.
Neuro Oncol Duke 1999;1:289-291.
ABSTRACT
Sleep Apnea in Multiple Sclerosis
Manon-Espaillat et al.
Neurorehabil Neural Repair 1989;3:133-136.
ABSTRACT
|