Transient Acquired Hypoventilation Syndrome Secondary to Uncal Herniation Is Successfully Treated with Bilevel Noninvasive Positive Pressure Ventilation

Autor: Linle Hou, Jonathan Stoll, Lauren Pioppo, Jack Xu, Wajahat Khan
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Case Reports in Critical Care, Vol 2018 (2018)
Druh dokumentu: article
ISSN: 2090-6420
2090-6439
DOI: 10.1155/2018/7013916
Popis: Background. To describe an unusual presentation of acquired hypoventilation syndrome treated successfully with noninvasive positive pressure ventilation. Case Presentation. We report a case report of a 48-year-old male who presented to the emergency room for recurrent syncope. He was found to have a ventricular colloid cyst causing uncal herniation. The patient was noted to be intermittently apneic and bradypnic. Transient hypoventilation was successfully treated with noninvasive positive pressure ventilation and the patient made a full neurological recovery following transcallosal resection of the colloid cyst. Subsequently, the hypoventilation resolved. Conclusion. With prompt surgical intervention, full neurological recovery is possible after cerebral uncal herniation. In rare circumstances, this can result in transient alveolar hypoventilation. Bilevel noninvasive positive pressure ventilation can be used to successfully manage the hypoventilation.
Databáze: Directory of Open Access Journals
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