A 20-year-old man with a history of congenital central hypoventilation syndrome presented with recent-onset psychosis, catatonia, and a diagnosis of schizophrenia. Psychiatric symptoms were resistant to conventional treatment. A fluorodeoxyglucose positron emission tomography scan of the brain obtained during the hospitalization revealed a hypometabolism distribution more consistent with hypoperfusion than with primary central nervous system disease. Increased mechanical ventilation was successfully used to treat the psychiatric symptoms.
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http://dx.doi.org/10.1542/peds.2013-2740 | DOI Listing |
Cureus
December 2024
Otolaryngology, Fairfield General Hospital, Northern Care Alliance NHS Foundation Trust, Manchester, GBR.
Silent sinus syndrome is a rare condition that typically affects the maxillary sinus, with only a few reported cases of frontal sinus involvement. Blockage of the sinus ostium leads to persistent hypoventilation, creating negative pressure and eventual sinus collapse. This report describes a previously undocumented case of facial asymmetry due to frontal silent sinus syndrome, following multiple childhood nasal injuries.
View Article and Find Full Text PDFObjectives: This retrospective study aims to evaluate the efficacy of continuous positive airway pressure (CPAP) therapy in treating severe obstructive sleep apnea (OSA), based on polysomnographic parameters, and to highlight the importance of hospital-based titration in optimizing treatment and guiding choices of alternative ventilation modes.
Methods: Sixty-nine patients (n=69, 100%), predominantly female (n=49, 71%), were included in the study. Polysomnographic data were collected during hospital-based CPAP titration.
Orphanet J Rare Dis
December 2024
Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Piazza Leonardo da Vinci, 20133, Milan, Italy.
Introduction: Osteogenesis Imperfecta (OI) is characterised by brittle bones, severe skeletal deformities, low sleep quality, and restricted breathing. We aimed to distinguish how disease and obesity affect these results.
Methods: According to BMI, we considered four groups of peer adults (median age: 35.
Pediatr Pulmonol
December 2024
Department of Pediatrics, New York Medical College, Valhalla, New York, USA.
J Clin Sleep Med
December 2024
Department of Respiratory and Sleep Medicine, Perth Children's Hospital, Perth, Western Australia, Australia.
Study Objectives: Clinical utility of home polysomnography in children with neuromuscular disorders is limited by lack of evidence that sleep-disordered breathing can be reliably identified and inability to diagnose hypoventilation as carbon dioxide is not measured.
Methods: This study aimed to determine feasibility, accuracy and parent satisfaction for home polysomnography performed with a Type 2 portable monitoring device and a transcutaneous CO monitor. Results of laboratory and home polysomnography were compared with Mann-Whitney U tests and random intercept regression models.
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