title: [Central alveolar hypoventilation syndrome with compression of the medulla oblongata by tortuous and elongated vertebral arteries].
abstract: 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.
authors.affiliation: Department of Medicine (II), Niigata University School of Medicine, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Goto
authors.forename: M
authors.initials: M
authors.lastname: Satoh
authors.forename: K
authors.initials: K
authors.lastname: Fuse
authors.forename: K
authors.initials: K
authors.lastname: Sato
authors.forename: M
authors.initials: M
authors.lastname: Yokota
authors.forename: Y
authors.initials: Y
authors.lastname: Muramatsu
authors.forename: R
authors.initials: R
authors.lastname: Takahashi
authors.forename: E
authors.initials: E
authors.lastname: Suzuki
authors.forename: M
authors.initials: M
authors.lastname: Arakawa
mesh_terms: D000328:Adult; D004108:Dilatation, Pathologic; D005260:Female; D006801:Humans; D008526:Medulla Oblongata; D009408:Nerve Compression Syndromes / Q000150:complications*; D012121:Respiration, Artificial; D012891:Sleep Apnea Syndromes / Q000209:etiology* / Q000628:therapy; D014711:Vertebral Artery / Q000473:pathology*