Sleep Apnea Syndrome after Posterior Fossa Surgery: A Case of Acquired Ondine's Curse

Introduction: Ondine’s Curse is a catastrophic but rare condition in adults. It is referred to as a congenital or acquired condition, in which the patient cannot breathe automatically while asleep. Acquired causes of this disease can be any cause affecting the ventrolateral part of the medulla, whic...

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Main Authors: Elnaz Faraji rad, mohammad faraji rad, Shahram Amini, Reza zare
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2015-01-01
Series:Iranian Journal of Otorhinolaryngology
Subjects:
Online Access:http://ijorl.mums.ac.ir/pdf_3463_15796a1f69e30e67932cc1018a5a09b9.html
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author Elnaz Faraji rad
mohammad faraji rad
Shahram Amini
Reza zare
author_facet Elnaz Faraji rad
mohammad faraji rad
Shahram Amini
Reza zare
author_sort Elnaz Faraji rad
collection DOAJ
description Introduction: Ondine’s Curse is a catastrophic but rare condition in adults. It is referred to as a congenital or acquired condition, in which the patient cannot breathe automatically while asleep. Acquired causes of this disease can be any cause affecting the ventrolateral part of the medulla, which is considered to be the breathing center in humans.    Case Report:   A 51-year-old woman, with ataxia and the symptoms and signs of rising Intra-Cranial Pressure, who underwent ventriculoperitoneal shunting and removal of tumour, developed episodic apnea during sleep after surgery and hypercapnia when awake. In her post-operative CT scan, some fine spots of hypodensity in the left lateral part of the medulla were observed. She was managed pharmacologically and underwent tracheotomy. After 50 days, she was discharged from the hospital when she was able to breathe normally.   Conclusion:  Having experience with this condition after resection of a fourth ventricle tumor, it was found that Ondine’s Curse can be considered as one of the complications of  posterior fossa surgery and is curable by proper management.
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spelling doaj.art-5d401d04e08543d2884501245d454ade2022-12-21T18:20:21ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2015-01-01277863673463Sleep Apnea Syndrome after Posterior Fossa Surgery: A Case of Acquired Ondine's CurseElnaz Faraji rad0mohammad faraji rad1Shahram Amini2Reza zare3Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Anesthesiology, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, Iran.Introduction: Ondine’s Curse is a catastrophic but rare condition in adults. It is referred to as a congenital or acquired condition, in which the patient cannot breathe automatically while asleep. Acquired causes of this disease can be any cause affecting the ventrolateral part of the medulla, which is considered to be the breathing center in humans.    Case Report:   A 51-year-old woman, with ataxia and the symptoms and signs of rising Intra-Cranial Pressure, who underwent ventriculoperitoneal shunting and removal of tumour, developed episodic apnea during sleep after surgery and hypercapnia when awake. In her post-operative CT scan, some fine spots of hypodensity in the left lateral part of the medulla were observed. She was managed pharmacologically and underwent tracheotomy. After 50 days, she was discharged from the hospital when she was able to breathe normally.   Conclusion:  Having experience with this condition after resection of a fourth ventricle tumor, it was found that Ondine’s Curse can be considered as one of the complications of  posterior fossa surgery and is curable by proper management.http://ijorl.mums.ac.ir/pdf_3463_15796a1f69e30e67932cc1018a5a09b9.htmlCentral hypoventilation syndromeOndine’s CursePosterior fossa surgery
spellingShingle Elnaz Faraji rad
mohammad faraji rad
Shahram Amini
Reza zare
Sleep Apnea Syndrome after Posterior Fossa Surgery: A Case of Acquired Ondine's Curse
Iranian Journal of Otorhinolaryngology
Central hypoventilation syndrome
Ondine’s Curse
Posterior fossa surgery
title Sleep Apnea Syndrome after Posterior Fossa Surgery: A Case of Acquired Ondine's Curse
title_full Sleep Apnea Syndrome after Posterior Fossa Surgery: A Case of Acquired Ondine's Curse
title_fullStr Sleep Apnea Syndrome after Posterior Fossa Surgery: A Case of Acquired Ondine's Curse
title_full_unstemmed Sleep Apnea Syndrome after Posterior Fossa Surgery: A Case of Acquired Ondine's Curse
title_short Sleep Apnea Syndrome after Posterior Fossa Surgery: A Case of Acquired Ondine's Curse
title_sort sleep apnea syndrome after posterior fossa surgery a case of acquired ondine s curse
topic Central hypoventilation syndrome
Ondine’s Curse
Posterior fossa surgery
url http://ijorl.mums.ac.ir/pdf_3463_15796a1f69e30e67932cc1018a5a09b9.html
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AT shahramamini sleepapneasyndromeafterposteriorfossasurgeryacaseofacquiredondinescurse
AT rezazare sleepapneasyndromeafterposteriorfossasurgeryacaseofacquiredondinescurse