睡眠呼吸障碍为首发表现的Chiari畸形幼儿1例报道并文献复习

目的 探讨中枢性睡眠呼吸暂停的特点及其引起疾病的临床特征,提高Chiari畸形合并中枢性睡眠呼吸暂停的认识.方法 回顾性分析1例以睡眠呼吸障碍为首发表现的Chiari畸形患儿的临床资料,结合文献复习探讨Chiari畸形合并中枢性睡眠呼吸暂停(CSA)的特征.结果 患儿通过影像学及多导睡眠监测证实符合Chiari畸形Ⅰ型...

A case of sleep disordered breathing is the first performance of Chiari deformity in young children report and literature revier

Objective To understand the characteristics of central sleep apnea and the clinical characteristics of the disease, and to improve the understanding of Chiari malformation combined with central sleep apnea. Methods The clinical data of a patient with Chiari malformation were retrospectively analyzed, and the characteristics of Chiari malformation combined with central sleep apnea were discussed combined with literature review. Results The child confirmed the characteristics of Chiari malformation type I combined with central sleep apnea by imaging and polysomnography. Review and summarize literatures related to Chiari malformation, together with this case, a total of 32 cases(1 adult male, 4 adult female, 12 young and young male, 15 young female)were reported. In 22 patients with sleep respiratory disorders, 13 were mainly obstructive pause, 5 were mainly central pause, one was central hypoventilation, and three showed both central and obstructive forms.Except for one patient with obstructive suspension, all the other patients underwent surgical treatment. Conclusion The problem of Chiari malformation causing sleep breathing disorder cannot be ignored. Polysomnography can help to make objective evaluation and preliminary diagnosis, and offer more information on characteristics of sleep and breathing before clinical treatment decision is made.