Noseda A, Devriendt J, Hoffmann G, Schmerber J
Clinique de Pneumologie, Hôpital Universitaire Brugmann, Bruxelles, Belgique.
Rev Mal Respir. 1996;13(4):440-2.
We report on a 45-year old woman with daytime sleepiness, polycythemia, hypoxemia and hypercapnia, admitted to hospital on three occasions in a 10 month period for acute respiratory failure. Polysomnography demonstrated apneas of central type, testing of the respiratory drive suggested central alveolar hypoventilation and magnetic resonance imaging showed an Arnold-Chiari malformation with syringomyelia. The originality of this case is the absence of any neurologic sign, respiratory failure being the sole manifestation of the Arnold-Chiari malformation.
我们报告了一名45岁女性，她有日间嗜睡、红细胞增多症、低氧血症和高碳酸血症，在10个月内三次因急性呼吸衰竭入院。多导睡眠图显示为中枢型呼吸暂停，呼吸驱动测试提示中枢性肺泡通气不足，磁共振成像显示有阿诺德-奇阿利畸形伴脊髓空洞症。该病例的独特之处在于没有任何神经体征，呼吸衰竭是阿诺德-奇阿利畸形的唯一表现。
