2004
DOI: 10.1590/s0004-282x2004000300027
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Abstract: -We report and discuss the case of a 55-year old man who presented a history of stroke as well as chronic obstructive pulmonary disease. When admitted into the emergency room, he was diagnosed with a vertebro-basilar syndrome. A brain MRI showed a hyperintense area in the lower right brainstem laterally within the medulla, which corresponds to the area of the pathways descending from the autonomic breathing control center. During hospitalization, the patient had several episodes of prolonged apnea, mainly when… Show more

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Cited by 21 publications
(13 citation statements)
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References 11 publications
(13 reference statements)
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“…Although Ondine's curse is most commonly described as a congenital syndrome, rare cases of acquired CAH caused by lesions involving the ventrolateral descending medullocervical pathways have been reported. 2,3,5,6 Chemosensitive respiratory neurons initiating inspiration and expiration have been localized to the medulla. We postulate that, in our case, compression from residual tumor and subgaleal effusion, and exacerbation by supine positioning and pressure from mask immobilization, interfered with dorsal respiratory group functions responsible for ventilatory responses to hypercapnea and hypoxemia, causing the patient to go into respiratory arrest.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Although Ondine's curse is most commonly described as a congenital syndrome, rare cases of acquired CAH caused by lesions involving the ventrolateral descending medullocervical pathways have been reported. 2,3,5,6 Chemosensitive respiratory neurons initiating inspiration and expiration have been localized to the medulla. We postulate that, in our case, compression from residual tumor and subgaleal effusion, and exacerbation by supine positioning and pressure from mask immobilization, interfered with dorsal respiratory group functions responsible for ventilatory responses to hypercapnea and hypoxemia, causing the patient to go into respiratory arrest.…”
Section: Discussionmentioning
confidence: 99%
“…1,2 The eponym, Ondine's curse, was first coined in 1962 to describe the symptoms of 3 patients whose respiratory centers failed to perform automatically after upper bilateral cervical cordotomy for pain relief. The term stems from the German legend Der Ritter von Staufenberg where "the water nymph, Ondine, having been jilted by her mortal husband, took from him all automatic functions, requiring him to remember to breathe.…”
Section: Introductionmentioning
confidence: 99%
“…Few cases have been reported of patients with Electrodes are seen on both views tethered to the right and left side of the pericardium. Circular device receivers are seen embedded in subcutaneous pockets on each side of the lower chest medullary tumors, acute vertebrobasilar strokes, as well as other structural lesions presenting with hypoventilation [1,2,[6][7][8]. Most, but not all cases in adults do have corresponding bulbar lesions on MRI.…”
Section: Discussionmentioning
confidence: 99%
“…Two types have been described: congenital and acquired CAH. The congenital CAH occurs at birth and is extremely rare [3] while the acquired CAH can result from medulla ischemia, hemorrhage, tumor, infection, demyelinating diseases, trauma, some mitochondrial diseases, degenerative diseases or anoxic-ischemic damage [2,4].…”
Section: Introductionmentioning
confidence: 99%