title: [Home mechanical ventilation with nasal intermittent positive pressure ventilation for a boy with congenital central hypoventilation syndrome].
abstract: We report a 4-year-old boy with congenital central hypoventilation syndrome (CCHS) successfully treated with home mechanical ventilation with nasal intermittent positive pressure ventilation (NIPPV) during sleep hours. He had had frequent severe apneic attacks from the neonatal period. At 8 months, he was treated with positive pressure ventilation following a tracheostomy. At 4 year and 2 months, NIPPV was attempted because of recurrent respiratory tract infections and cor pulmonale. The tracheostomy was successfully abandoned 6 months later. Adequate ventilation has been maintained for more than 3 years without troubles. NIPPV is an effective and non-invasive treatment of CCHS that it significantly improves the quality of life during daytime.
authors.affiliation: Department of Pediatric Neurology, Osaka City General Hospital.
authors.forename: H
authors.initials: H
authors.lastname: Kawawaki
authors.forename: K
authors.initials: K
authors.lastname: Tomiwa
authors.forename: S
authors.initials: S
authors.lastname: Kusuda
authors.forename: Y
authors.initials: Y
authors.lastname: Osasa
authors.forename: Y
authors.initials: Y
authors.lastname: Hase
authors.forename: R
authors.initials: R
authors.lastname: Murata
mesh_terms: D002675:Child, Preschool; D006699:Home Care Services; D006801:Humans; D007385:Intermittent Positive-Pressure Ventilation / Q000379:methods*; D008297:Male; D008397:Masks; D011788:Quality of Life; D012891:Sleep Apnea Syndromes / Q000151:congenital* / Q000628:therapy*