椎骨動脈の異常拡張による延髄圧迫を認めた中枢性肺胞低換気症候群の1例

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タイトル別名
  • Central Alveolar Hypoventilation Syndrome with Compression of the Medulla Oblongata by Tortuous and Elongated Vertebral Arteries.

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A 43-year-old woman was admitted to the hospital with hypoventilation, which developed when she took sedatives because of an operation on an adrenal gland tumor. Central alveolar hypoventilation syndrome was diagnosed after neurophysiological and pulmonary-function tests. Magnetic resonance imaging and vertebral angiography revealed that tortuous and elongated vertebral arteries compressed the ventral sides of the medulla oblongata, which may have caused the hypoventilation. Mechanical ventilation during sleep improved her condition. Home mechanical ventilation was prescribed and she has been well during follow up as an outpatient.

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