Hoffman R M, Stiller R A
Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh School of Medicine.
Chest. 1995 Feb;107(2):570-2. doi: 10.1378/chest.107.2.570.
Lesions of the brainstem have been associated with obstructive sleep apnea in previous reports. We now report a case in which retromastoid craniectomy with microvascular decompression of the medulla and ninth and tenth cranial nerves resulted in the complete resolution of severe obstructive sleep apnea. Possible mechanisms for this observation are discussed.
在先前的报告中,脑干病变已被认为与阻塞性睡眠呼吸暂停有关。我们现在报告一例病例,该病例通过乳突后颅骨切除术并对延髓以及第九和第十对颅神经进行微血管减压,严重阻塞性睡眠呼吸暂停得以完全缓解。本文讨论了这一观察结果的可能机制。