Chaudhary B A, Elguindi A S, King D W
South Med J. 1982 Jan;75(1):65-7. doi: 10.1097/00007611-198201000-00016.
Sleep apnea occurring in association with neurologic lesions is usually of the central type. We have described a patient in whom obstructive sleep apnea followed a lateral medullary syndrome. We hypothesize that the upper airway obstruction during sleep was due to weakness of the palatal and pharyngeal muscles resulting from the neurologic lesion. The patient initially had reduced respiratory center motor output (mouth occlusion pressure) which increased significantly after tracheostomy. We conclude that obstructive as well as central apnea may follow neurologic lesions. Each patient should be carefully evaluated to provide proper treatment.
与神经病变相关的睡眠呼吸暂停通常是中枢型的。我们描述了一名患者，其在延髓外侧综合征后出现阻塞性睡眠呼吸暂停。我们推测睡眠期间上呼吸道阻塞是由于神经病变导致的腭部和咽部肌肉无力所致。该患者最初呼吸中枢运动输出降低（口腔阻塞压），气管切开术后显著增加。我们得出结论，神经病变后可能会出现阻塞性和中枢性呼吸暂停。每位患者都应进行仔细评估以提供恰当治疗。
