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題名 | Medullary Infarction with Central Hypoventilation (Ondine's Curse): A Case Report=延腦梗塞併發中樞性換氣不足(Ondine's Curse):個案報告 |
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作者姓名(中文) | 施宏男; 洪啟宗; 翁興裕; | 書刊名 | Acta Neurologica Taiwanica |
卷期 | 12:4 2003.12[民92.12] |
頁次 | 頁201-204 |
分類號 | 415.92 |
關鍵詞 | 延腦梗塞; 中樞性換氣不足; Central hypoventilation syndrome; Ondine's curse; Brainstem infarction; |
語文 | 英文(English) |
英文摘要 | Ondine’s curse, also termed central alveolar hypoventilation, presents as hypoventilation or total loss of automatic ventilation with progressive hypercapnia and hypoxia during sleep. This syndrome is often associated with large medullary infarction, Hirschsprung disease and ganglioneuroblastoma. We report a 75-year-old man with right lateral medullary infarction who presented with apnea and cyanosis suddenly during sleep on the third day of admission. Due to bradycardia (HR: 22) and decreased SaO2 (22%) he was intubated with ventilator support. Two and half months later, the patient could finally breathe without ventilator support, although his neurological deficit was just as that before intubation. Ondine’s curse as a result of acute medullary dysfunction was the most likely etiology causing sudden cyanosis and apnea of this patient. Close monitoring and adequate ventilation support are important for patients at risk of developing Ondine’s curse. |
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