Unlabelled: Central hypoventilation is a rare cause of respiratory failure that has been associated with multiple underlying disorders, including congenital central hypoventilation syndrome, obesity hypoventilation syndrome, and several neuromuscular conditions. We report the case of an adolescent who presented with respiratory failure in the setting of acute demyelinating encephalomyelitis whose clinical history was consistent with a congenital myopathy and whom we found to have a Tropomyosin 3 () genetic variant on further genetic testing. This case expands the clinical spectrum of causes for late-onset central hypoventilation in the setting of a neuromuscular disorder.

Citation: Stringel V, Bizargity P, Laureta E, Kothare S. A late presentation of myopathy presenting as sleep hypoventilation in the setting of acute demyelinating encephalomyelitis. . 2022;18(11):2695-2698.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622978PMC
http://dx.doi.org/10.5664/jcsm.10148DOI Listing

Publication Analysis

Top Keywords

hypoventilation setting
12
setting acute
12
acute demyelinating
12
demyelinating encephalomyelitis
12
central hypoventilation
12
late presentation
8
presentation myopathy
8
myopathy presenting
8
presenting sleep
8
sleep hypoventilation
8

Similar Publications

Article Synopsis
  • Obesity-hypoventilation syndrome (OHS) is a severe respiratory condition linked to morbid obesity, often treated with positive airway pressure therapies and weight loss.
  • A case study of a 53-year-old woman with a BMI of 49 kg/m² showed she suffered from acute respiratory failure due to OHS, requiring mechanical ventilation and significant weight loss of over 30 kg.
  • Despite her weight loss, continuous monitoring indicated that factors beyond obesity affected her respiratory health, suggesting that simply losing weight may not be enough to stop NPPV treatment for OHS.
View Article and Find Full Text PDF
Article Synopsis
  • Acute hypercapnic respiratory failure is a serious condition primarily caused by insufficient breathing, often linked to chronic obstructive pulmonary disease and muscle dysfunction.
  • Noninvasive ventilation using a mask is the preferred first-line treatment to improve patient survival and outcomes, while high-flow nasal oxygen is considered a supportive option, although it has a higher failure rate compared to noninvasive ventilation.
  • The review discusses optimal settings for high-flow nasal oxygen and highlights its potential benefits when used after noninvasive ventilation or during weaning from mechanical ventilation.
View Article and Find Full Text PDF

The S3 guideline on non-invasive ventilation as a treatment for chronic respiratory failure was published on the website of the Association of the Scientific Medical Societies in Germany (AWMF) in July 2024. It offers comprehensive recommendations for the treatment of chronic respiratory failure in various underlying conditions, such as COPD, thoraco-restrictive diseases, obesity-hypoventilation syndrome, and neuromuscular diseases. An important innovation is the separation of the previous S2k guideline dating back to 2017, which included both invasive and non-invasive ventilation therapy.

View Article and Find Full Text PDF
Article Synopsis
  • Vertebral osteomyelitis (VO) is a rare but severe spinal infection, accounting for 3%-5% of all osteomyelitis cases, with specific risk factors like age, diabetes, and IV drug use.
  • A 54-year-old woman with several health issues developed VO after a fall, initially treated with IV antibiotics, but ultimately required complex surgery due to her deteriorating condition.
  • The case emphasizes the necessity for tailored surgical techniques and interdisciplinary care in managing VO, particularly for high-risk patients with complicated medical histories.
View Article and Find Full Text PDF

Incidence, severity and changes of abnormal vital signs in trauma patients: A national population-based analysis.

Injury

January 2025

Department of Circulation and Imaging, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, NO-7491 Trondheim, Norway; Department of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway; Department of Emergency Medicine and Pre-hospital Services, St. Olav's University Hospital, NO-7006 Trondheim, Norway. Electronic address:

Background: Physiological criteria are used to assess the potential severity of injury in the early phase of a trauma patient's care trajectory. Few studies have described the extent of abnormality in vital signs and different combinations of these at a national level. Aim of the study was to identify physiologic abnormalities in trauma patients and describe different combinations of abnormalities and changes between the pre-hospital and emergency department (ED) settings.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!