11/33. Somnolence syndrome after focal radiation therapy to the pineal region: case report and review of the literature.Somnolence syndrome classically occurs in children after cranial irradiation for acute lymphocytic leukemia. Symptoms include somnolence, fever, nausea and vomiting, and headache. The authors report a 29 year-old female who developed symptoms compatible with the somnolence syndrome after completing radiation therapy for a benign meningioma near the pineal region. Five weeks after completing conformal radiation therapy (54 Gy), she developed profound fatigue, headaches, and 102-degree fevers. physical examination and routine laboratory work were unrevealing. Imaging was not performed. prednisone was prescribed and within 1 week her symptoms had largely resolved. This is the first report of the somnolence syndrome after focal radiation therapy. The possible etiology of the somnolence syndrome is discussed.- - - - - - - - - - ranking = 1keywords = headache (Clic here for more details about this article) |
12/33. sleep and breathing abnormalities in a case of prader-willi syndrome. The effects of acute continuous positive airway pressure treatment.This report describes the polysomnographic findings and the respiratory alterations during sleep in a 20-year-old patient with the prader-willi syndrome. Nocturnal recordings and a variant of the multiple sleep latency test showed excessive daytime sleepiness, sleep onset rapid eye movement episodes, snoring and sleep apnea. Treatment with nasal continuous positive airway pressure normalized the respiratory pattern and the sleep structure, except for rapid eye movement sleep onset. Whereas upper airway obstruction and obesity may explain the respiratory disorders, as shown by their resolution with continuous positive airway pressure treatment, hypothalamic dysfunction could play a role in the disruption of the normal nonrapid eye movement/rapid eye movement sleep periodicity.- - - - - - - - - - ranking = 21.244784945307keywords = breathing, upper (Clic here for more details about this article) |
13/33. Hypersomnia-sleep apnea due to micrognathia. Reversal by tracheoplasty.A 67-year-old woman with acquired micrognathia developed severe daytime hypersomnia, loud snoring, nocturnal enuresis, encopresis, and hypertension. A polysomnogram demonstrated 564 sleep apneas, primarily obstructive, recurrent hypoxia, a bradytachycardia, and absent stages III, IV, and REM sleep. endoscopy during sleep revealed recurrent active closure of the upper pharynx associated with loud snoring. A tracheoplasty was done because of severity of symptoms and failure of conservative therapy. Dramatic improvement in sleepiness and hypertension occurred within 48 hours. On postoperative night 15 a repeated polysomnogram showed only 23 apneas, no hypoxia or bradytachycardia, and long periods of stage II, IV, and REM sleep. patients with the hypersomnia-sleep apnea syndrome should be provided with a tracheal opening during sleep when severe daytime somnolence, cardiac arrhythmias, and hypertension are present.- - - - - - - - - - ranking = 0.003786702852107keywords = upper (Clic here for more details about this article) |
14/33. The effect of mandibular osteotomy in three patients with hypersomnia sleep apnea.Hypersomnia sleep apnea (HSA) is characterized by apneic episodes during sleep and daytime hypersomnolence. patients afflicted as a result of upper airway obstruction have been treated traditionally with permanent tracheostomy. Three patients with HSA and mandibular retrognathism are presented. Each patient had a retrognathic mandible that stemmed from a different cause. Surgical advancement of their underdeveloped mandibles corrected the symptoms of HSA rapidly. The literature concerning HSA is reviewed and the advantages of mandibular surgery in selected cases are discussed.- - - - - - - - - - ranking = 0.003786702852107keywords = upper (Clic here for more details about this article) |
15/33. Prominent somnolence and cerebellar syndrome in subclavian artery thrombosis--a case report.A patient suffering from acute left subclavian artery thrombosis presented with an unusual syndrome of prominent somnolence, right cerebellar signs, and left upper extremity ischemia. Clinical, angiologic, and electrophysiologic studies confirmed a brain stem and reticular formation dysfunction due to vertebrobasilar ischemia. Urgent thromboembolectomy led to neurologic improvement and satisfactory revascularization of the involved upper limb.- - - - - - - - - - ranking = 0.0075734057042141keywords = upper (Clic here for more details about this article) |
16/33. snoring: an acoustic monitoring technique.snoring is a significant symptom of upper airway obstruction which has not been measured and quantified in a clinically useful manner. A technique to determine acoustic level, frequency, and duration of snoring is reported. Four case studies illustrate the utility of this method. It is recommended that acoustic monitoring be included in the polysomnographic assessment of selected sleep disorder patients.- - - - - - - - - - ranking = 0.003786702852107keywords = upper (Clic here for more details about this article) |
17/33. retrognathia and sleep apnea. A life-threatening condition masquerading as narcolepsy.The association of sleep apnea with daytime hypersomnolence without obesity, and its potentially lethal cardiopulmonary sequelae, make it crucial that this condition be distinguished from narcolepsy. A patient with retrognathia who had been diagnosed as a narcoleptic for 15 years had the primary complaint of excessive daytime sleepiness. sleep laboratory evaluation showed severe hypoxemia and a mean of 366 upper airway obstructions per night. The patient was treated with a tracheotomy; this resulted in relief of the sleep-related upper airway obstructions, hypoxemia, and hypersomnolence.- - - - - - - - - - ranking = 0.0075734057042141keywords = upper (Clic here for more details about this article) |
18/33. Hypersomnolence and intermittent upper airway obstruction. Occurrence caused by micrognathia.A patient with hypersomnolence, micrognathia, and respiratory insufficiency had been treated eight years for narcolepsy. sleep apnea because of upper airway obstruction was found, and a tracheostomy was performed. Following this the hypersomnolence and respiratory insufficiency resolved. This case emphasizes the importance of carefully evaluating the condition of patients complaining of hypersomnolence to detect those with intermittent upper airway obstruction occurring during sleep.- - - - - - - - - - ranking = 0.022720217112642keywords = upper (Clic here for more details about this article) |
19/33. Hypersomnia and periodic breathing. Report of a case and review of the literature.A patient with hypersomnia and periodic breathing has been studied. Both airflow obstruction and an abnormally of the respiratory control mechanism were implicated in the pathogenesis of the ventilatory arrhythmia. It is suggested that the older terms "Pickwick" syndrome and primary alveolar hypoventilation are abandoned for more descriptive terms, e.g. "hypersomnia with periodic breathing".- - - - - - - - - - ranking = 31.861497363683keywords = breathing (Clic here for more details about this article) |
20/33. Further observations on sleep abnormalities in kleine-levin syndrome: abnormal breathing pattern during sleep.In two adolescent and two adult patients with kleine-levin syndrome, polygraphic sleep recording performed during somnolent and non-somnolent periods revealed various forms of abnormal breathing patterns during sleep. These included periodic breathing and hypopnoeic episodes associated with brief arousals and, in one adult patient, a full blown sleep apnoea syndrome. It is suggested that abnormal breathing in sleep in this syndrome may result from central hypoexcitability.- - - - - - - - - - ranking = 37.171746924297keywords = breathing (Clic here for more details about this article) |
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