Popova L M, Alferova V P, Popov A A, Fomenko A I
Anesteziol Reanimatol. 1990 Jan-Feb(1):60-5.
Apnea in sleeping patients with syringobulbomyelia can be accounted for by damages in afferent and efferent impulsation from the respiratory centre due to cysts in medulla oblongata and spinal channel distension. Controlled lung ventilation has been applied to such patients in sleep for more than 8 years. In Arnold-Chiari syndrome apnea in sleep is associated with paroxysms of occlusive hydrocephalus. Periodic controlled lung ventilation during sleep is obligatory in these patients. Both nosological forms are characterized by lower sensitivity of the respiratory centre to hypoxia and hypercapnia. The nature of the pathological process is confirmed by magnetic resonance tomography.
患有脊髓空洞症的睡眠患者出现呼吸暂停，可能是由于延髓囊肿和脊髓空洞扩张导致呼吸中枢的传入和传出冲动受损所致。对这类睡眠患者进行控制性肺通气治疗已超过8年。在阿诺德-奇亚里综合征中，睡眠呼吸暂停与阻塞性脑积水发作有关。这些患者在睡眠期间必须进行周期性控制性肺通气。这两种疾病类型的特点都是呼吸中枢对低氧和高碳酸血症的敏感性降低。磁共振断层扫描证实了病理过程的性质。
