Acquired Ondine's curse.
Acquired OC, although rare, can occur as a result of neurologic abnormalities, and its diagnosis is dependent on an understanding of all causes of altered ventilation, including sleep disturbances--central, obstructive, or mixed. A neurologic evaluation, appropriate radiologic studies, and sleep workup will in most cases delineate the problem. Treatment includes a tracheotomy and ventilator support. Phrenic nerve pacing is reserved for patients with long-term disease and viable phrenic nerves.
Stankiewicz
J A
JA
Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, Maywood, IL 60153.
Pazevic
J P
JP
D000293:Adolescent; D001139:Arnold-Chiari Malformation / Q000150:complications; D002675:Child, Preschool; D004660:Encephalitis / Q000150:complications; D005260:Female; D006801:Humans; D012121:Respiration, Artificial; D012891:Sleep Apnea Syndromes / Q000209:etiology* / Q000628:therapy