Artículo
Nogués, M.; Gené, R.; Benarroch, E.; Leiguarda, R.; Calderón, C.; Encabo, H. "Respiratory disturbances during sleep in syringomyelia and syringobulbia" (1999) Neurology. 52(9):1777-1783
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Abstract:
Objective: To determine the frequency and types of abnormalities of respiratory control during sleep in syringomyelia and syringobulbia and to provide a basis to predict patients at risk of sudden death. Methods: Thirty patients (15 male and 15 female; mean age 39.0 ± 12.6 years) with communicating syringomyelia were divided into two groups: those with evidence of syringobulbia (17 patients) and those without compromise of the medulla or syringomyelia (13 patients). Patients were studied with pulmonary function studies and polysomnography. Respiratory center sensitivity to CO2 (rebreathing technique) was measured in 9 patients. Results: Severely affected patients had mild-to-moderate restriction and individual patients had bilateral diaphragmatic or vocal cord palsy, abnormal respiratory rhythm, prolonged inspiratory time, or an abnormal respiratory response to CO2. Very prolonged central, obstructive, and mixed sleep apneas with low O2 saturation values and a fixed heart rate were recorded in most patients with syringobulbia. Five patients developed severe respiratory complications and died during a follow-up period of 10 years. Respiratory abnormalities failed to correlate with syrinx size. Conclusions: Severe abnormalities in respiratory rhythm generation during sleep occur in patients with syringobulbia. The respiratory disturbances are not due to muscle weakness and they are not correlated with the size of the cavity. The combination of dysphagia and dysphonia in patients with longstanding syringomyelia and syringobulbia predicted likelihood of respiratory disturbances during sleep.
Registro:
| Documento: | Artículo |
| Título: | Respiratory disturbances during sleep in syringomyelia and syringobulbia |
| Autor: | Nogués, M.; Gené, R.; Benarroch, E.; Leiguarda, R.; Calderón, C.; Encabo, H. |
| Filiación: | Dept. of Clinical Neurophysiology, Buenos Aires, Argentina Department of Neurology, Inst. de Invest. Neurologicas D., Buenos Aires, Argentina Department of Pneumonology, Hosp. de Clinicas Jose de S. M., Buenos Aires, Argentina Department of Neurology Mayo Clinic, Rochester, MN, United States Montañeses 2325, (1428), Buenos Aires, Argentina |
| Palabras clave: | adolescent; adult; aged; article; clinical article; controlled study; dysphagia; dysphonia; female; human; lung function; male; medulla oblongata; polysomnography; priority journal; respiration center; respiratory failure; sleep; sudden death; syringomyelia; Adolescent; Adult; Aged; Brain; Female; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Polysomnography; Respiration Disorders; Sleep; Syringomyelia |
| Año: | 1999 |
| Volumen: | 52 |
| Número: | 9 |
| Página de inicio: | 1777 |
| Página de fin: | 1783 |
| Título revista: | Neurology |
| Título revista abreviado: | Neurology |
| ISSN: | 00283878 |
| CODEN: | NEURA |
| Registro: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00283878_v52_n9_p1777_Nogues |
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Citas:
---------- APA ----------
Nogués, M., Gené, R., Benarroch, E., Leiguarda, R., Calderón, C. & Encabo, H. (1999) . Respiratory disturbances during sleep in syringomyelia and syringobulbia. Neurology, 52(9), 1777-1783.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00283878_v52_n9_p1777_Nogues [ ]
---------- CHICAGO ----------
Nogués, M., Gené, R., Benarroch, E., Leiguarda, R., Calderón, C., Encabo, H. "Respiratory disturbances during sleep in syringomyelia and syringobulbia" . Neurology 52, no. 9 (1999) : 1777-1783.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00283878_v52_n9_p1777_Nogues [ ]
---------- MLA ----------
Nogués, M., Gené, R., Benarroch, E., Leiguarda, R., Calderón, C., Encabo, H. "Respiratory disturbances during sleep in syringomyelia and syringobulbia" . Neurology, vol. 52, no. 9, 1999, pp. 1777-1783.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00283878_v52_n9_p1777_Nogues [ ]
---------- VANCOUVER ----------
Nogués, M., Gené, R., Benarroch, E., Leiguarda, R., Calderón, C., Encabo, H. Respiratory disturbances during sleep in syringomyelia and syringobulbia. Neurology. 1999;52(9):1777-1783.Available from: https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00283878_v52_n9_p1777_Nogues [ ]
