Raised intracranial pressure in chronic respiratory disease

Brockmeier, B; Burbach, Harold J.; Runge, M; Altenkirch, H.

doi:10.1016/s0140-6736(05)61793-x

Cited by 5 publications

(2 citation statements)

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“…, 2000; Wolin and Brannon, 1995; Bloomfield et al ., 1987). This association was thought to be related to hypoxia‐hypercapnia, leading to secondary cerebral vasodilatation with elevated intracranial pressure and consecutive papilloedema (Brockmeier et al. , 1997; Reeve et al.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of papilloedema in patients with sleep apnoea syndrome: a prospective study

Peter¹,

Jacob

Krolak‐Salmon³

et al. 2007

Journal of Sleep Research

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SUMMAR Y The association of papilloedema (PO) with respiratory diseases and especially obstructive sleep apnoea (OSA) syndrome has been emphasised in many reports. The pathophysiology could rely on the episodic increase of intracranial pressure related to apnoeic episodes during night sleep. Nevertheless, prevalence of papilloedema in patient with OSA syndrome remains unknown. As this information could improve diagnosis and therapeutic strategies, the aim of the present study was to investigate the prevalence of PO in an OSA syndrome population. From 95 successive, recently diagnosed OSA patients, 35 answered a questionnaire about visual symptoms and underwent fundoscopic examination. Visual symptoms suggestive of PO were present in 40% of the patients, but none had PO. As a conclusion, PO does not seem to be frequently associated with OSA syndrome and systematic screening of PO in these patients does not seem to be warranted. Nevertheless, patients with visual complaints evocative of papilloedema should have their eye fundus checked since the association between OSA and PO exists. Further studies, including more patients, might be useful to establish which patients are at particular risk for this complication.k e y w o r d s idiopathic intracranial hypertension, papilloedema, sleep apnoea

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Section: Discussionmentioning

confidence: 99%

Prevalence of papilloedema in patients with sleep apnoea syndrome: a prospective study

Peter¹,

Jacob

Krolak‐Salmon³

et al. 2007

Journal of Sleep Research

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show abstract

“…Some authors have reported an association between PTC and chronic corticosteroid use, but patients have more commonly developed symptoms during corticosteroid withdrawal [13] Our patient already had PTC before receiving corticosteroids and her situation remained stable despite tapered steroid doses. Raised ICP has also been observed in severe acute or chronic respiratory disease such as acute asthma and obstructive sleep apnea syndrome [4] However, severe hypercapnia and hypoxemia were constant, and respiratory improvement paralleled ICP decrease. In our case, although the respiratory condition remained stable, ICP increased in a few days from 35 to 60 cmH 2 O.…”

Section: Discussionmentioning

confidence: 98%