Sleep Medicine
Volume 1, Issue 2 , Pages 139-144 , 1 April 2000

Arnold-Chiari malformation presenting as sleep apnea syndrome

  • B. Lam
  • ,
  • C.F. Ryan

      Affiliations

    • Corresponding Author InformationCorresponding author. Division of Respiratory Medicine, Vancouver Hospital & Health Sciences Centre, 2775 Heather Street, Vancouver, BC V5Z 3J5, Canada. Tel.: +1-604-875-4241; fax: +1-604-875-4695

Received 29 September 1999 ,Revised 5 November 1999 ,Accepted 12 November 1999.

References 

  1. Salam MZ, Adams RD. The Arnold-Chiari Malformation. In:  Vinken PJ,  Bruyn GW editor. Congenital Malformations of the Spine and Spinal Cord. Handbook of Clinical Neurology. North-Holland, Amsterdam: Elsevier; 1978;p. 32
  2. Paul KS, Lye RH, Strang FA, et al.  Arnold-Chiari malformation: review of 71 cases. J Neurosurg. 1983;58:183–187
  3. Balk RA, Hiller FC, Lucas EA, et al.  Sleep apnea and the Arnold-Chiari malformation. Am Rev Respir Dis. 1985;132:929–930
  4. Ruff ME, Oakes WJ, Fisher SR, et al.  Sleep apnea and vocal cord paralysis secondary to Type I Chiari malformation. Pediatrics. 1987;80:231–234
  5. Levitt P, Cohn MA. Sleep apnea and the Chiari I malformation: case report. Neurosurgery. 1988;23:508–510
  6. Arcaya J, Cacho J, Del Campo F, et al.  Arnold Chiari malformation associated with sleep apnea and central dysregulation of arterial pressure. Acta Neurol Scand. 1993;88:224–226
  7. Montserrat JM, Picado C, Agusti-Vidal A. Arnold-Chiari malformation and paralysis of the diaphragm. Respiration. 1988;53:128–131
  8. Levitt P, Cohn MA. Sleep apnea and the Chiari I malformation. Neurosurgery. 1988;23:508–510
  9. Cirignotta F, Coccagna G, Zucconi M, et al.  Sleep apnea, convulsive syncopes and autonomic impairment in type I Arnold-Chiari malformation. Eur Neurol. 1991;31:36–40
  10. Doherty MJ, Spence DPS, Young C, et al.  Obstructive sleep apnea with Arnold-Chiari malformation. Thorax. 1995;50:690–691
  11. Shiihara T, Shimizu Y, Mitsui T, et al.  Isolated sleep apnea due to Chiari type I malformation and syringomyelia. Pediatr Neurol. 1995;13:266–267
  12. Fanfulla F, Eleftheriou D, Patruno V, et al.  Chronic respiratory failure in a patient with type I Arnold-Chiari malformation and syringomyelia. Arch Chest Dis. 1998;53:138–141
  13. Miyamoto M, Miyamoto T, Hirate K, et al.  A case of Arnold-chiari Type I malformation presenting with dysrhythmic breathing during sleep. Psychiatry Clin Neurosci. 1998;52:212–216
  14. Waters KA, Forbes P, Morielli A, et al.  Sleep-disordered breathing in children with myelomeningocele. J Pediatr. 1998;132:672–681
  15. Ely EW, McCall WV, Haponik EF. Multifactorial obstructive sleep apnea in a patient with Chiari malformation. J Neurol Sci. 1994;126:232–236
  16. Holinger PC, Holinger LD, Reichert TJ, et al.  Respiratory obstruction and apnea in infants with bilateral abductor vocal cord paralysis, meningomyelocele, hydrocephalus and Arnold-Chiari malformation. J Pediatr. 1978;92:368–373
  17. Rabec C, Laurent G, Baudouin N. Central sleep apnea in Arnold-Chiari malformation: evidence of pathophysiological heterogeneity. Eur Respir J. 1998;12:1482–1485
  18. Johns MW. Daytime sleepiness scoring and obstructive sleep apnea: the Epworth sleepiness scale. Chest. 1993;103:30–36
  19. Bokinsky GE, Hudson LD, Weil JV. Impaired peripheral chemosensitivity and acute respiratory failure in Arnold-Chiari malformation and syringomyelia. N Engl J Med. 1973;288:947–948
  20. Stankiewicz JA, Pazevic JP. Acquired Ondine's curse. Otolaryngol Head Neck Surg. 1989;101:611–613
  21. Krieger AJ, Detwiler JS, Trooskin SZ. Respiratory function in infants with Arnold Chiari malformation. Laryngoscope. 1976;86:718–723
  22. Keefover R, Sam M, Bodensteiner J, et al.  Hypersomnolence and pure central sleep apnea associated with the Chiari I malformation. J Child Neurol. 1995;10:65–67
  23. Pasterkamp H, Cardoso ER, Booth FA. Obstructive sleep apnea leading to increased intracranial pressure in a patient with hydrocephalus and syringomyelia. Chest. 1989;95:1064–1067
  24. Younes M. In: The physiolgioc basis of central apnea and periodic breathing, Vol. 10, In Curr Pulmonal. Year Book Medical Publishers Inc; 1989;p. 265–326
  25. Mitchell RA, Berger JA. Neural regulation of respiration. In:  Hornbein TF editors. Lung biology in health and disease, vol. 17, regulation of breathing. New York: Marcel Dekker; 1981;p. 541–620
  26. Plum FL, Leigh RJ. Abnormalities of central mechanisms. In:  Hornbein TF editors. Lung biology in health and disease, vol. 17, regulation of breathing. New York: Marcel Dekker; 1981;p. 989–1067
  27. Hanly PJ. Mechanisms and management of central sleep apnea. Lung. 1992;170:1–17
  28. Severinghaus JW, Mitchell RA. Ondine's curse: failure of respiratory centre automaticity while awake. Clin Res. 1962;10:122
  29. Isono S, Remmers JE. In:  Kryger MH,  Roth T,  Dement WC editor. Principles and practice of sleep medicine. 2nd ed. Philadelphia, PA: WB Saunders; 1994;p. 642–656
  30. Sugita Y, Iijima S, Teshima Y, et al.  Marked episodic elevation of cerebrospinal fluid pressure during nocturnal sleep in patients with sleep apnea hypersomnia syndrome. Electroenceph clin Neurophysiol. 1985;60:214–219
  31. Jennum P, Borgesen SE. Intracranial pressure and obstructive sleep apnea. Chest. 1989;95:279–283

PII: S1389-9457(99)00004-0

Sleep Medicine
Volume 1, Issue 2 , Pages 139-144 , 1 April 2000