Complex sleep apnea syndrome in a child with Chiari malformation type 1

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dc.contributor.authorYosunkaya, Sebnem
dc.contributor.authorPekcan, Sevgi
dc.date.accessioned2024-02-23T14:45:43Z
dc.date.available2024-02-23T14:45:43Z
dc.date.issued2013
dc.departmentNEÜen_US
dc.description.abstractThere are few reports of a patient presenting with symptoms of obstructive sleep apnea syndrome (OSAS) as the sole manifestation of Chiari malformation type 1 (CM1). In the literature, complex sleep apnea syndrome (CompSAS) was also reported as a rare condition related to CM1 patients. We report the case of a 13-year-old patient with the complaint of snoring and difficulty in breathing during sleep, but otherwise healthy. After an initial polysomnography, the patient was diagnosed with OSAS and nocturnal continuous hypoxemia. The child underwent titration to pressure of continuous positive airway pressure (CPAP); obstructive apnea improved but central apnea (i.e., CompSAS) and nocturnal continuous hypoxemia persisted. Magnetic resonance imaging led to diagnosis of CM1. Her central apnea and nocturnal hypoxemia resolved following bi-level positive airway pressure- spontaneous-timed (S/T) (BiPAP-S/T) treatment. We emphasize that the CM1 cases can admit with only breathing problems during sleep without concomitant neurological findings, and this malformation can cause central apnea resistant to CPAP.en_US
dc.identifier.endpage111en_US
dc.identifier.issn0041-4301
dc.identifier.issue1en_US
dc.identifier.pmid23692844en_US
dc.identifier.scopus2-s2.0-84876577651en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage107en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12452/17586
dc.identifier.volume55en_US
dc.identifier.wosWOS:000341411500019en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish J Pediatricsen_US
dc.relation.ispartofTurkish Journal Of Pediatricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSleep Apneaen_US
dc.subjectChiari Malformationen_US
dc.subjectPositive Airway Pressure (Pap)en_US
dc.titleComplex sleep apnea syndrome in a child with Chiari malformation type 1en_US
dc.typeArticleen_US

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