严重阻塞性睡眠呼吸暂停导致导水管狭窄患者颅内压升高及脑积水
Severe Obstructive Sleep Apnoea Leading to Raised Intracranial Pressure Hydrocephalus in a Patient with Aqueduct Stenosis.
作者信息
McLoughlin Hilary, Coughlan Gearoid, Nadeem Iftikhar, Burke Emma
机构信息
Portiuncula University Hospital, Ballinasloe, Ireland.
Lister Hospital, Stevenage, United Kingdom.
出版信息
Eur J Case Rep Intern Med. 2021 Jan 14;8(1):002229. doi: 10.12890/2021_002229. eCollection 2021.
UNLABELLED
We present the case of a patient with severe obstructive sleep apnoea (OSA) and hypoventilation syndrome who had hydrocephalus and acquired aqueduct stenosis. A link between these conditions in our patient is postulated. We discuss the mechanisms through which this might have occurred and the potential problems which might arise in applying non-invasive ventilation to a patient with hydrocephalus.
LEARNING POINTS
Patients with severe obstructive sleep apnoea (OSA) and hypoventilation require AVAPS-AE ventilation to deal with obstructive and central events which may occur.Arterial blood gas analysis and MRI of the brain are indicated in the assessment of patients with severe OSA.Hydrocephalus may develop in patients with severe OSA if there is a structural brain abnormality but may resolve with OSA treatment.
未标注
我们报告一例患有严重阻塞性睡眠呼吸暂停（OSA）和通气不足综合征且伴有脑积水和后天性导水管狭窄的患者。推测了我们患者中这些病症之间的联系。我们讨论了其可能发生的机制以及对脑积水患者应用无创通气可能出现的潜在问题。
学习要点
患有严重阻塞性睡眠呼吸暂停（OSA）和通气不足的患者需要采用自动调压适应性伺服通气（AVAPS-AE）来应对可能发生的阻塞性和中枢性事件。在评估严重OSA患者时，需进行动脉血气分析和脑部磁共振成像（MRI）检查。如果存在脑部结构异常，严重OSA患者可能会出现脑积水，但OSA治疗后可能会缓解。
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