Effects of tracheostomy in two cases of hypersomnia with periodic breathing.

作者: E. Lugaresi , G. Coccagna , M. Mantovani , F. Brignani

DOI: 10.1136/JNNP.36.1.15

关键词:

摘要: Two non-obese patients suffering from hypersomnia with periodic breathing, who presented predominantly obstructive apnoea persisting throughout sleep, underwent tracheotomy placement of a permanent tracheal cannula. Before tracheostomy there was serious state alveolar hypoventilation marked rise in pulmonary arterial pressure which appeared during sleep. After breathing sleep became regular, normal, and daytime drowsiness disappeared. These observations suggest that the obstruction upper air tracts represents most important factor pathogenesis breathing.

参考文章(22)
Richard Jung, Wolfgang Kuhlo, Neurophysiological Studies of Abnormal Night Sleep and the Pickwickian Syndrome Progress in Brain Research. ,vol. 18, pp. 140- 159 ,(1965) , 10.1016/S0079-6123(08)63590-6
Wolfgang Kuhlo, Neurophysiologische und klinische Untersuchungen heim Pickwick-Syndrom Archiv f�r Psychiatrie und Nervenkrankheiten Vereinigt mit Zeitschrift f�r die Gesamte Neurologie und Psychiatrie. ,vol. 211, pp. 170- 192 ,(1968) , 10.1007/BF00344412
W. Kuhlo, E. Doll, M. C. Franck, [Successful management of Pickwickian syndrome using long-term tracheostomy]. Deutsche Medizinische Wochenschrift. ,vol. 94, pp. 1286- 1290 ,(1969) , 10.1055/S-0028-1111209
C A Tassinari, H Gastaut, B Duron, Polygraphic study of diurnal and nocturnal (hypnic and respiratory) episodal manifestations of Pickwick syndrome Revue Neurologique. ,vol. 112, pp. 568- 579 ,(1965)
C. Sidney Burwell, Eugene D. Robin, Robert D. Whaley, Albert G. Bickelmann, Extreme obesity associated with alveolar hypoventilation—A pickwickian syndrome The American Journal of Medicine. ,vol. 21, pp. 811- 818 ,(1956) , 10.1016/0002-9343(56)90094-8
Victor D. Menashe, Cyrus Farrehi, Michael Miller, Hypoventilation and cor pulmonale due to chronic upper airway obstruction The Journal of Pediatrics. ,vol. 67, pp. 198- 203 ,(1965) , 10.1016/S0022-3476(65)80242-6
E. Gellhorn, On the physiological action of carbon dioxide on cortex and hypothalamus. Electroencephalography and Clinical Neurophysiology. ,vol. 5, pp. 401- 413 ,(1953) , 10.1016/0013-4694(53)90083-2
Douglas Carroll, A peculiar type of cardiopulmonary failure associated with obesity The American Journal of Medicine. ,vol. 21, pp. 819- 824 ,(1956) , 10.1016/0002-9343(56)90095-X
Nathan S. Seriff, ALVEOLAR HYPOVENTILATION WITH NORMAL LUNGS: THE SYNDROME OF PRIMARY OR CENTRAL ALVEOLAR HYPOVENTILATION. Annals of the New York Academy of Sciences. ,vol. 121, pp. 691- 705 ,(2006) , 10.1111/J.1749-6632.1965.TB14238.X