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I型阿诺德-奇亚里畸形中的睡眠呼吸暂停、惊厥性晕厥和自主神经功能障碍。

Sleep apneas, convulsive syncopes and autonomic impairment in type I Arnold-Chiari malformation.

作者信息

Cirignotta F, Coccagna G, Zucconi M, Gerardi R, Lugaresi A, Cortelli P, Tralli G, Lugaresi E

机构信息

Institute of Neurology, University of Bologna, Italy.

出版信息

Eur Neurol. 1991;31(1):36-40. doi: 10.1159/000116624.

Abstract

A 51-year-old man with type I Arnold-Chiari malformation presented with severe autonomic impairment. Polysomnography disclosed central and obstructive sleep apneas. During REM sleep apneas were accompanied by hypotension and led to convulsive nonepileptic attacks. Marked blood pressure oscillations and central apneas persisted after tracheostomy.

摘要

一名患有I型阿诺德-基阿里畸形的51岁男性出现严重自主神经功能障碍。多导睡眠图显示中枢性和阻塞性睡眠呼吸暂停。在快速眼动睡眠期,呼吸暂停伴有低血压,并导致惊厥性非癫痫发作。气管切开术后,明显的血压波动和中枢性呼吸暂停仍持续存在。

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