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Anti-Hu antibody-related paraneoplastic neurologic syndrome (PNS), a rare disease primarily associated with small cell lung carcinoma, is characterized by diverse neurologic manifestations. Central sleep apnea, although rare, is specific to anti-Hu antibody-related PNS. Herein, we present a case of out-of-hospital cardiac arrest attributed to hypercapnic central sleep apnea and detail the subsequent workup that revealed anti-Hu brainstem encephalitis.

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Objective: This retrospective study aimed to analyze the clinical characteristics, ventilatory strategies, and effectiveness of ventilation in pediatric patients with central apneas treated at the Sleep Medicine and Long-Term Ventilation Unit of the Bambino Gesù Children's Hospital in Rome from 2012 to 2022.

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Article Synopsis
  • Congenital central hypoventilation syndrome (CCHS) is a rare condition that affects breathing and may be linked to autism spectrum disorder (ASD) due to issues at birth.
  • A study in France found that about 8.7% of young patients with CCHS also had ASD.
  • There were connections between certain health factors and adaptive skills, showing that better heart function (measured by RMSSD) was related to better communication and social skills in these patients.
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Airway obstruction in two children with congenital central hypoventilation syndrome and review of the literature.

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Université de Paris-Cité, AP-HP, Hôpital Robert Debré, Service de Médecine intensive et réanimation pédiatriques, F-75019 Paris, France; Université de Paris-Cité, AP-HP, Hôpital Robert Debré, INSERM NeuroDiderot, F-75019 Paris, France.

Congenital central hypoventilation syndrome (CCHS) is an autosomal dominant disease that is caused by heterozygous mutations in the paired-like homeobox 2B gene (PHOX2B). Madani et al. described an abnormally high degree of not only central apnea but also obstructive and mixed apnea in Phox2bnewborn mice.

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