Central Alveolar Hypoventilation Syndrome Due to Surgical Resection for Bulbar Hemangioblastoma
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概要
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A 29-year-old man with a history of resected bulbar hemangioblastoma was admitted to hospital with nighttime breathing disturbance, but with apparently normal breathing while awake. After diagnostic work-up, including polysomnographic testing, he was diagnosed as having central alveolar hypoventilation syndrome due to surgical resection for bulbar hemangioblastoma. Non-invasive positive pressure ventilation (NIPPV) via oronasal facemask was given for nocturnal ventilatory support. Two months after leaving our hospital, he was readmitted because of aspiration pneumonia. The pneumonia was successfully treated with antibiotics, but the desaturation during sleep worsened despite non-invasive ventilatory support. Higher bi-level positive pressure using a full facemask successfully alleviated sleep hypoventilation and apnea. To the best of our knowledge, this is the first case report of central alveolar hypoventilation syndrome due to surgical resection for bulbar hemangioblastoma.
著者
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IIZUKA TAKASHI
Department of Medicine, Yokohama Rosai Hospital
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Hayashi Hiroki
Department Of Geriatric Medicine And Nephrology Osaka University Graduate School Of Medicine
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Matsuyama Masashi
Department of Respiratory Medicine, National Hospital Organization Ibarakihigashi National Hospital
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Nakazawa Kensuke
Division of Respiratory Medicine, Institute of Clinical Medicine, University of Tsukuba
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Katou Minoru
Department of Respiratory Medicine, National Hospital Organization Ibarakihigashi National Hospital
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Ota Kyoko
Department of Respiratory Medicine, National Hospital Organization Ibarakihigashi National Hospital
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Masuko Hironori
Department of Respiratory Medicine, National Hospital Organization Ibarakihigashi National Hospital
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Mori Takeru
Department of Respiratory Medicine, National Hospital Organization Ibarakihigashi National Hospital
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Hayashihara Kenji
Department of Respiratory Medicine, National Hospital Organization Ibarakihigashi National Hospital
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Saito Takefumi
Department of Respiratory Medicine, National Hospital Organization Ibarakihigashi National Hospital
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Satoh Makoto
Division of Sleep Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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Hizawa Nobuyuki
Division of Respiratory Medicine, Institute of Clinical Medicine, University of Tsukuba
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Hayashihara Kenji
Department Of Internal Medicine National Hospital Organization Ibaraki-higashi Hospital
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Iizuka Takashi
Department Of Mechanical & System Engineering Kyoto Institute Of Technology
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Hayashi Hiroki
Department Of Biomolecular Engineering Graduate School Of Engineering Tohoku University
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NAKAZAWA Kensuke
Division of Internal Medicine, Tsukuba University Hospital
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MATSUYAMA Masashi
Department of Electrical and Electronic Engineering, Musashi Institute of Technology
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Hayashi Hiroki
Department of Respiratory Medicine, National Hospital Organization Ibarakihigashi National Hospital
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