Arnold-Chiari malformation and paralysis of the diaphragm.
A woman aged 17 years presented with symptoms of somnolence. A bilateral diaphragmatic paralysis and an Arnold-Chiari malformation were diagnosed. Lung function tests revealed a marked restrictive defect and a blunted ventilatory response to hypercapnia and hypoxia. A sleep study also showed central apneas, an irregular pattern of breathing and marked hypoventilation.
Montserrat
J M
JM
Servei de Pneumologia, Hospital Clínic, Barcelona, España.
Picado
C
C
Agustí-Vidal
A
A
D000293:Adolescent; D001139:Arnold-Chiari Malformation / Q000150:complications*; D005260:Female; D006801:Humans; D012129:Respiratory Function Tests; D012133:Respiratory Paralysis / Q000209:etiology*; D012891:Sleep Apnea Syndromes / Q000209:etiology