Therapeutic Effects of Tracheostomy in Two Cases of Hypersomnia with Respiratory Disturbance during Sleep
作者:
Yoshiro Sugita,
Haruhiko Wakamatsu,
Yoshio Teshima,
Katsuyuki Tanaka,
Eiji Furuya,
Satoshi Masaoka,
Susami Iijima,
Yasuo Hishikawa,
Hiroshi Miyahara,
Takeo Sato,
期刊:
Psychiatry and Clinical Neurosciences
(WILEY Available online 1980)
卷期:
Volume 34,
issue 1
页码: 17-25
ISSN:1323-1316
年代: 1980
DOI:10.1111/j.1440-1819.1980.tb01509.x
出版商: Blackwell Publishing Ltd
关键词: tracheostomy;sleep apnea;hypersomnia with respiratory disturbance
数据来源: WILEY
摘要:
Abstract:Recently the association of hypersomnia and respiratory insufficiency without lesion in the respiratory organ has attracted attention of many investigators. Obese patients with such a condition have been called the Pickwickian syndrome. In this report, two non‐obese patients with a similar condition were presented, one with micrognathia and frequent apneic episodes during sleep, and the other with laryngeal stenosis due to paralysis of the bilateral laryngeal nerves and chronic laryngitis. Tracheostomy had a prompt and long‐lasting therapeutic effect to make their sleep stable and also to relieve their excessive daytime sleepiness. These findings suggest that the obstruction or stenosis of the upper airway during sleep disturbed their nocturnal sleep, and that their excessive daytime sleepiness was a phenomenon compensating for their disturbed nocturnal sl
点击下载:
PDF
(591KB)
返 回