Risk of sudden death during sleep in syringomyelia and syringobulbia
Clinical, respiratory, and polysomnographic findings in three patients with syringomyelia and syringobulbia who developed severe respiratory complications are described. Neurological examination showed evidence of IXth and Xth cranial nerve involvement with dysphagia and dysphonia, but there were no...
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| Veröffentlicht in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 1992-07, Vol.55 (7), p.585-589 |
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| creator | Nogués, M A Gené, R Encabo, H |
| description | Clinical, respiratory, and polysomnographic findings in three patients with syringomyelia and syringobulbia who developed severe respiratory complications are described. Neurological examination showed evidence of IXth and Xth cranial nerve involvement with dysphagia and dysphonia, but there were no complaints of serious sleep difficulties. Two patients died during sleep and the other was resuscitated during a nap. All patients showed moderate restrictive ventilatory defects with reduced maximal buccal pressures and one also showed a low ventilatory response to CO2 rebreathing. Protracted central, obstructive, and mixed apnoeas and hypopnoeas were commonly observed during sleep. There were no changes in heart rate during these events. A combination of respiratory and cardiovascular mechanisms might have been responsible for the severe complications described. |
| doi_str_mv | 10.1136/jnnp.55.7.585 |
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Neurological examination showed evidence of IXth and Xth cranial nerve involvement with dysphagia and dysphonia, but there were no complaints of serious sleep difficulties. Two patients died during sleep and the other was resuscitated during a nap. All patients showed moderate restrictive ventilatory defects with reduced maximal buccal pressures and one also showed a low ventilatory response to CO2 rebreathing. Protracted central, obstructive, and mixed apnoeas and hypopnoeas were commonly observed during sleep. There were no changes in heart rate during these events. A combination of respiratory and cardiovascular mechanisms might have been responsible for the severe complications described.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.55.7.585</identifier><identifier>PMID: 1640236</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adult ; Afferent Pathways - physiopathology ; Aged ; Biological and medical sciences ; Carbon Dioxide - blood ; Cerebrospinal fluid. Meninges. Spinal cord ; Death, Sudden - etiology ; Humans ; Lung Volume Measurements ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Medulla Oblongata - physiopathology ; Middle Aged ; Monitoring, Physiologic ; Nervous system (semeiology, syndromes) ; Neurologic Examination ; Neurology ; Oxygen - blood ; Respiratory Center - physiopathology ; Respiratory Muscles - physiopathology ; Risk Factors ; Sleep Apnea Syndromes - complications ; Sleep Apnea Syndromes - physiopathology ; Sleep Stages - physiology ; Spinal Cord - physiopathology ; Syringomyelia - complications ; Syringomyelia - physiopathology</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 1992-07, Vol.55 (7), p.585-589</ispartof><rights>1992 INIST-CNRS</rights><rights>Copyright BMJ Publishing Group LTD Jul 1992</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b509t-de96a5477172492a09995bf31d567861f28a902cbc29f213ca3e71f1e49fdb8d3</citedby><cites>FETCH-LOGICAL-b509t-de96a5477172492a09995bf31d567861f28a902cbc29f213ca3e71f1e49fdb8d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC489171/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC489171/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5415267$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1640236$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nogués, M A</creatorcontrib><creatorcontrib>Gené, R</creatorcontrib><creatorcontrib>Encabo, H</creatorcontrib><title>Risk of sudden death during sleep in syringomyelia and syringobulbia</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>Clinical, respiratory, and polysomnographic findings in three patients with syringomyelia and syringobulbia who developed severe respiratory complications are described. Neurological examination showed evidence of IXth and Xth cranial nerve involvement with dysphagia and dysphonia, but there were no complaints of serious sleep difficulties. Two patients died during sleep and the other was resuscitated during a nap. All patients showed moderate restrictive ventilatory defects with reduced maximal buccal pressures and one also showed a low ventilatory response to CO2 rebreathing. Protracted central, obstructive, and mixed apnoeas and hypopnoeas were commonly observed during sleep. There were no changes in heart rate during these events. A combination of respiratory and cardiovascular mechanisms might have been responsible for the severe complications described.</description><subject>Adult</subject><subject>Afferent Pathways - physiopathology</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carbon Dioxide - blood</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Death, Sudden - etiology</subject><subject>Humans</subject><subject>Lung Volume Measurements</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medulla Oblongata - physiopathology</subject><subject>Middle Aged</subject><subject>Monitoring, Physiologic</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurologic Examination</subject><subject>Neurology</subject><subject>Oxygen - blood</subject><subject>Respiratory Center - physiopathology</subject><subject>Respiratory Muscles - physiopathology</subject><subject>Risk Factors</subject><subject>Sleep Apnea Syndromes - complications</subject><subject>Sleep Apnea Syndromes - physiopathology</subject><subject>Sleep Stages - physiology</subject><subject>Spinal Cord - physiopathology</subject><subject>Syringomyelia - complications</subject><subject>Syringomyelia - physiopathology</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkUtvEzEUhS1EVUJhyRJpJBBiM8Hvx6ILFKCtqECC8NhZnrHdOp3xBHsGkX-Po6QpsMGbK_t89_pcHQCeIDhHiPBXqxjXc8bmYs4kuwdmiHJZEwK_3wczCDGuCWTwAXiY8wpuj1TH4BhxCjHhM_DmU8g31eCrPFnrYmWdGa8rO6UQr6rcObeuQqzyZnsf-o3rgqlMtLcvzdQ1wTwCR9502T3e1xPw5d3b5eK8vvx4drF4fVk3DKqxtk5xw6gQSGCqsIFKKdZ4gizjQnLksTQK4rZpsfIYkdYQJ5BHjipvG2nJCTjdzV1PTe9s6-KYTKfXKfQmbfRggv5bieFaXw0_NZUKCVT6X-z70_BjcnnUfcit6zoT3TBlLQhUVCJZwGf_gKthSrHsppEoFFGQwkLVO6pNQ87J-YMTBPU2G73NRjOmhS7ZFP7pn_bv6F0YRX--101uTeeTiW3IB4xRxDAXd9-GPLpfB9mkG11UwfSHrwv9jXxe8vd0qc8L_3LHN_3qPw5_A7HjtBE</recordid><startdate>19920701</startdate><enddate>19920701</enddate><creator>Nogués, M A</creator><creator>Gené, R</creator><creator>Encabo, H</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19920701</creationdate><title>Risk of sudden death during sleep in syringomyelia and syringobulbia</title><author>Nogués, M A ; Gené, R ; Encabo, H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b509t-de96a5477172492a09995bf31d567861f28a902cbc29f213ca3e71f1e49fdb8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adult</topic><topic>Afferent Pathways - physiopathology</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Carbon Dioxide - blood</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Death, Sudden - etiology</topic><topic>Humans</topic><topic>Lung Volume Measurements</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medulla Oblongata - physiopathology</topic><topic>Middle Aged</topic><topic>Monitoring, Physiologic</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurologic Examination</topic><topic>Neurology</topic><topic>Oxygen - blood</topic><topic>Respiratory Center - physiopathology</topic><topic>Respiratory Muscles - physiopathology</topic><topic>Risk Factors</topic><topic>Sleep Apnea Syndromes - complications</topic><topic>Sleep Apnea Syndromes - physiopathology</topic><topic>Sleep Stages - physiology</topic><topic>Spinal Cord - physiopathology</topic><topic>Syringomyelia - complications</topic><topic>Syringomyelia - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nogués, M A</creatorcontrib><creatorcontrib>Gené, R</creatorcontrib><creatorcontrib>Encabo, H</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nogués, M A</au><au>Gené, R</au><au>Encabo, H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk of sudden death during sleep in syringomyelia and syringobulbia</atitle><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle><addtitle>J Neurol Neurosurg Psychiatry</addtitle><date>1992-07-01</date><risdate>1992</risdate><volume>55</volume><issue>7</issue><spage>585</spage><epage>589</epage><pages>585-589</pages><issn>0022-3050</issn><eissn>1468-330X</eissn><coden>JNNPAU</coden><abstract>Clinical, respiratory, and polysomnographic findings in three patients with syringomyelia and syringobulbia who developed severe respiratory complications are described. Neurological examination showed evidence of IXth and Xth cranial nerve involvement with dysphagia and dysphonia, but there were no complaints of serious sleep difficulties. Two patients died during sleep and the other was resuscitated during a nap. All patients showed moderate restrictive ventilatory defects with reduced maximal buccal pressures and one also showed a low ventilatory response to CO2 rebreathing. Protracted central, obstructive, and mixed apnoeas and hypopnoeas were commonly observed during sleep. There were no changes in heart rate during these events. A combination of respiratory and cardiovascular mechanisms might have been responsible for the severe complications described.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>1640236</pmid><doi>10.1136/jnnp.55.7.585</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of neurology, neurosurgery and psychiatry, 1992-07, Vol.55 (7), p.585-589 |
| issn | 0022-3050 1468-330X |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Afferent Pathways - physiopathology Aged Biological and medical sciences Carbon Dioxide - blood Cerebrospinal fluid. Meninges. Spinal cord Death, Sudden - etiology Humans Lung Volume Measurements Magnetic Resonance Imaging Male Medical sciences Medulla Oblongata - physiopathology Middle Aged Monitoring, Physiologic Nervous system (semeiology, syndromes) Neurologic Examination Neurology Oxygen - blood Respiratory Center - physiopathology Respiratory Muscles - physiopathology Risk Factors Sleep Apnea Syndromes - complications Sleep Apnea Syndromes - physiopathology Sleep Stages - physiology Spinal Cord - physiopathology Syringomyelia - complications Syringomyelia - physiopathology |
| title | Risk of sudden death during sleep in syringomyelia and syringobulbia |
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