Sleep Apnea and the Chiari I Malformation: Case Report

Levitt, Philip; Cohn, Martin A.

doi:10.1227/00006123-198810000-00020

Cited by 41 publications

(13 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recrudescence of the dysfunction has been shown to be associated with recurrence of brain stem compression. 19 Our patient demonstrates that likewise SDB may be an early and perhaps only indicator of recurrent anatomic compromise.…”

Section: As a Clue To Sdb: Hypothesesmentioning

confidence: 55%

See 1 more Smart Citation

Chiari Malformation and Sleep-Disordered Breathing: A Review of Diagnostic and Management Issues

Zolty

Sanders

Pollack

2000

Sleep

View full text Add to dashboard Cite

Chiari Malformation (CM) encompasses several patterns of congenital or acquired cerebellar herniation through the foramen magnum. This may result in brain-stem compression that impacts control of breathing and is associated with obstructive and central apneas. A high clinical suspicion for sleep-disordered breathing is needed in the care of such patients after as well as before corrective surgery. To introduce a review of CM with a focus on the relevance to sleep medicine, we present a case of a 13-yearold female who was diagnosed with CM Type 1 in the course of an evaluation of symptomatic central sleep apnea. After initial improvement following surgery there was recurrence of brain-stem compression. The only clinical expression of which was polysomnographically evident recurrence of sleep apnea.

show abstract

Section: As a Clue To Sdb: Hypothesesmentioning

confidence: 55%

“…He underwent decompressive surgery and immediately had symptomatic relief, which was sustained up to eight weeks later. 19 There is no record of what occurred after this.…”

Section: As a Clue To Sdb: Hypothesesmentioning

confidence: 99%

Chiari Malformation and Sleep-Disordered Breathing: A Review of Diagnostic and Management Issues

Zolty

Sanders

Pollack

2000

Sleep

View full text Add to dashboard Cite

show abstract

“…The results of surgical decompression have shown a significant improvement in patients [6,8,30]. These patients should be evaluated by polysomnographic recordings to detect respiratory problems during sleep and thus be considered candidates for surgery to alleviate the risk from associated morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

Polysomnographic respiratory findings in patients with Arnold-Chiari type I malformation and basilar invagination, with or without syringomyelia: preliminary report of a series of cases

et al. 2000

View full text Add to dashboard Cite

Patients with craniocervical disorders (CCD) show a wide variety of symptoms and signs suggesting cerebellar and/or high cervical lesion. The anatomic localization of respiratory centers and their possible injury may explain the presence of respiratory disturbances in these diseases. The aim of this preliminary study was to evaluate the polysomnographic findings in a group of patients with CCD, most of them with Arnold-Chiari malformation type I, since sleep apnea has been referred to in isolated cases in the literature. Eleven patients (seven females and four males) with CCD diagnosed by magnetic resonance imaging referred from the neurosurgery unit were submitted to clinical history, physical examination with sleep questionnaires, and scored on the Epworth Sleepiness Scale. Full night polysomnography was performed in an Oxford SAC system where EEG, electro-oculography, electrocardiography, chin and leg electromyography, chest and abdominal efforts, airflow, and oximetry were recorded continuously. Nine patients presented with Arnold-Chiari type I malformation, of whom six showed associated syringomyelia. The other two had basilar invagination. Ninety percent of these patients complained of sleep problems (snoring, choking, and witnessed apneas) and 72% presented hypersomnolence (ESS >9). The polysomnographic findings showed sleep fragmentation in 81% of the patients and a reduction of rapid eye movement sleep in 63%. The apnea/hypopnea index was above 5 in 72%, with a predominance of central apnea. Patients with craniocervical disorders present a higher probability of displaying sleep respiratory disturbances. Their sleep complaints should be assessed and patients should be submitted to an overnight sleep recording in order to identify sleep apnea.

show abstract

“…Respiratory fail ure and central sleep apneas have been described due to compression of the medulla [1][2][3] or insensitivity of peripheral chemoreceptors [4], Less frequently, obstruc tive sleep apneas were observed [5,6]. In 1 patient we documented a respiratory and autonomic dysfunction leading to a life-threatening breathing and hemodynamic pattern during sleep.…”

Section: Introductionmentioning

confidence: 90%

Sleep Apneas, Convulsive Syncopes and Autonomic Impairment in Type I Arnold-Chiari Malformation

et al. 1991

View full text Add to dashboard Cite

show abstract

Sleep Apnea and the Chiari I Malformation: Case Report

Cited by 41 publications

References 0 publications

Chiari Malformation and Sleep-Disordered Breathing: A Review of Diagnostic and Management Issues

Chiari Malformation and Sleep-Disordered Breathing: A Review of Diagnostic and Management Issues

Polysomnographic respiratory findings in patients with Arnold-Chiari type I malformation and basilar invagination, with or without syringomyelia: preliminary report of a series of cases

Sleep Apneas, Convulsive Syncopes and Autonomic Impairment in Type I Arnold-Chiari Malformation

Contact Info

Product

Resources

About