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体位性中枢性睡眠呼吸暂停与血管性延髓压迫。

Positional central apnea and vascular medullary compression.

机构信息

Department of Neurology, Division of Sleep Medicine, Louisiana State University School of Medicine, Shreveport, LA, USA.

出版信息

Neurology. 2012 Nov 20;79(21):2156-7. doi: 10.1212/WNL.0b013e3182752cc9. Epub 2012 Nov 7.

DOI:10.1212/WNL.0b013e3182752cc9
PMID:23136263
Abstract

A 66-year-old man with hypertension presented with complaints of excessive daytime sleepiness (Epworth Sleepiness Score 14/24), dyspnea upon exertion, and episodes of noninjurious dream-enacting behavior. He reported tongue biting when sleeping in the right lateral decubitus position. Medications included atenolol 12.5 mg, lovastatin 20 mg, doxazosin 2 mg, amlodipine 5 mg, isosorbide mononitrate 60 mg, and aspirin 81 mg. He denied headaches, visual changes, dysarthria, dysphagia, or localized weakness. He denied use of alcohol, tobacco, or drugs.

摘要

一位 66 岁的男性,患有高血压,出现日间过度嗜睡(Epworth 嗜睡评分 14/24)、运动时呼吸困难和非伤害性梦境行为发作的症状。他报告说,在右侧卧位睡觉时会咬到舌头。他正在服用的药物包括阿替洛尔 12.5 毫克、洛伐他汀 20 毫克、多沙唑嗪 2 毫克、氨氯地平 5 毫克、单硝酸异山梨酯 60 毫克和阿司匹林 81 毫克。他否认有头痛、视力改变、构音障碍、吞咽困难或局部无力。他否认饮酒、吸烟或使用毒品。

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1
Positional central apnea and vascular medullary compression.体位性中枢性睡眠呼吸暂停与血管性延髓压迫。
Neurology. 2012 Nov 20;79(21):2156-7. doi: 10.1212/WNL.0b013e3182752cc9. Epub 2012 Nov 7.
2
Central sleep apnoea and unilateral diaphragmatic paralysis associated with vertebral artery compression of the medulla oblongata.
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[Hypoalgesia and hypothermesthesia in a lower extremity due to compression of the medulla oblongata by an elongated vertebral artery].[椎动脉延长致延髓受压引起下肢痛觉减退和温度觉减退]
Rinsho Shinkeigaku. 2004 Mar;44(3):176-81.
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[Central type of sleep apnea syndrome caused by unilateral lateral medullary infarction].[单侧延髓外侧梗死所致中枢型睡眠呼吸暂停综合征]
Rinsho Shinkeigaku. 1992 May;32(5):511-5.
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Central sleep apnea and arterial compression of the medulla.
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Paroxysmal apnea and vasomotor instability following medullary infarction.延髓梗死继发阵发性呼吸暂停和血管运动不稳定
Arch Neurol. 2005 Aug;62(8):1286-8. doi: 10.1001/archneur.62.8.1286.
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Medullary compression and hypertension.
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Vertebral artery compression of the medulla.椎动脉对延髓的压迫
Arch Neurol. 2006 Feb;63(2):234-41. doi: 10.1001/archneur.63.2.234.
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[A case of sleep apnea syndrome with significant alteration of apnea index by sleep position].[一例睡眠呼吸暂停综合征患者,呼吸暂停指数随睡眠体位显著改变]
Nihon Kyobu Shikkan Gakkai Zasshi. 1993 Aug;31(8):1034-9.
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Compression of the medulla oblongata due to an elongated vertebral artery is a common incidental finding on MRI of the brain.椎动脉延长致延髓受压是脑部MRI常见的偶然发现。
Acta Neurol Belg. 2015 Dec;115(4):841-2. doi: 10.1007/s13760-015-0488-y. Epub 2015 May 26.

引用本文的文献

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Vertebral artery compression of the medulla oblongata: A benign radiological finding?椎动脉对延髓的压迫:一种良性影像学表现?
Surg Neurol Int. 2022 Feb 4;13:36. doi: 10.25259/SNI_1161_2021. eCollection 2022.
2
New-generation positional therapy in patients with positional central sleep apnea.新一代体位治疗法在体位性中枢睡眠呼吸暂停患者中的应用。
Eur Arch Otorhinolaryngol. 2019 Sep;276(9):2611-2619. doi: 10.1007/s00405-019-05545-y. Epub 2019 Jul 13.
3
Hemidysgeusia, phantosmia and respiratory arrest: a case of CLIPPERS.偏侧味觉障碍、幻嗅与呼吸骤停:1例伴皮质下梗死和白质脑病的常染色体显性遗传性脑动脉病(CLIPPERS)病例
BMJ Case Rep. 2019 May 30;12(5):e230094. doi: 10.1136/bcr-2019-230094.
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A case of positional central sleep apnea due to compression of the left vertebral artery on brainstem.一例因左椎动脉压迫脑干导致的体位性中枢性睡眠呼吸暂停。
Sleep Sci. 2018 Jul-Aug;11(4):211-214. doi: 10.5935/1984-0063.20180034.