UNLABELLED: Ondine's curse is an uncommon type of sleep apnea syndrome characterized by failure of automatic respiration. We present an adult patient with brainstem glioma who presented with snoring and Ondine's curse as the only symptoms. CASE REPORT: A 52-year-old female was brought to the hospital by a fellow resident due to exceptionally loud snoring. During the hospitalization, Ondine's curse was diagnosed after monitoring using Apnomonitor 5 (Chest Co., Tokyo), a cheap, non-invasive respiratory monitoring procedure. MRI and MR spectroscopy revealed a brainstem glioma. After radiation therapy, clinical response was documented using repeat apnomonitoring. CONCLUSION: Exceptionally loud snoring in non-obese adult patients with sleep apnea may be an early feature of a brainstem space-occupying lesion. Overnight sleep respiratory evaluation and neuroimaging should be considered in such instances.
UNLABELLED: Ondine's curse is an uncommon type of sleep apnea syndrome characterized by failure of automatic respiration. We present an adult patient with brainstem glioma who presented with snoring and Ondine's curse as the only symptoms. CASE REPORT: A 52-year-old female was brought to the hospital by a fellow resident due to exceptionally loud snoring. During the hospitalization, Ondine's curse was diagnosed after monitoring using Apnomonitor 5 (Chest Co., Tokyo), a cheap, non-invasive respiratory monitoring procedure. MRI and MR spectroscopy revealed a brainstem glioma. After radiation therapy, clinical response was documented using repeat apnomonitoring. CONCLUSION: Exceptionally loud snoring in non-obese adult patients with sleep apnea may be an early feature of a brainstem space-occupying lesion. Overnight sleep respiratory evaluation and neuroimaging should be considered in such instances.
Authors: Siddhartha G Kapnadak; Ivan Mikolaenko; Kyle Enfield; Daryl R Gress; Barnett R Nathan Journal: Neurocrit Care Date: 2010-06 Impact factor: 3.210
Authors: Flávio A Carvalho; Tenille Bernardino; Ricardo O H Maciel; Sérgio F A Felizola; Eduardo L V Costa; Gisele S Silva Journal: Case Rep Neurol Date: 2011-02-23
Authors: Thomas Duning; Michael Deppe; Eva Brand; Jörg Stypmann; Charlotte Becht; Anna Heidbreder; Peter Young Journal: PLoS One Date: 2013-04-23 Impact factor: 3.240