ABSTRACT
We report a unique case of diaphragmatic flutter in a patient with obstructive sleep apnea who had no respiratory symptoms related to flutter and a history of recurrent cerebellar hemangioblastoma. The flutter was detected during a routine follow-up monitoring through the built-in software of the positive airway pressure device; the flow and pressure curves showed abnormal and curious oscillations. The ultrasound confirmed the diagnosis and ruled out other causes of abnormal diaphragmatic movements. This case report contributes to the scientific literature by presenting a novel case of diaphragmatic flutter associated with recurrent cerebellar hemangioblastoma. It also emphasizes the need for more research on the pathophysiology and treatment of this rare condition. CITATION: Ciorba C, Espinoza Perez JA, Alfonso Imizcoz M, Errasti Viader J, Cebollero Rivas P, De Vito EL. A novel presentation of diaphragmatic flutter in a patient with obstructive sleep apnea and recurrent cerebellar hemangioblastoma. J Clin Sleep Med. 2024;20(2):313-317.
Subject(s)
Hemangioblastoma , Sleep Apnea, Obstructive , Humans , Hemangioblastoma/complications , Hemangioblastoma/surgery , Sleep Apnea, Obstructive/complications , Sleep Apnea, Obstructive/therapy , Continuous Positive Airway PressureABSTRACT
En el entorno neumológico no es habitual conocer las normativas europeas y de EE. UU. que regulan la administración de oxígeno durante los viajes en avión y la política a tal respecto que cada compañía aérea tiene. Este desconocimiento se debe en gran parte a la escasez de artículos que abordan este tema en las revistas especializadas y a la llamativamente limitada información que nos proporcionan las aerolíneas en sus páginas web. En este artículo hemos abordado estas normativas, la política que siguen algunas aerolíneas y determinados aspectos prácticos que deberíamos tener en cuenta, para que podamos responder de forma satisfactoria a las preguntas que, en un momento puntual, nos pueda plantear un paciente que necesite utilizar oxígeno durante los viajes en avión
It is unusual for pulmonologists to be familiar with the European and US regulations governing the administration of oxygen during air travel and each airlines policy in this respect. This lack of knowledge is in large part due to the scarcity of articles addressing this matter in specialized journals and the noticeably limited information provided by airlines on their websites. In this article we examine the regulations, the policies of some airlines and practical aspects that must be taken into account, so that the questions of a patient who may need to use oxygen during a flight may be answered satisfactorily
Subject(s)
Humans , Male , Female , Oxygen Inhalation Therapy/classification , Oxygen Inhalation Therapy/methods , Aircraft/ethics , Legislation as Topic , Oxygen Inhalation Therapy/nursing , Oxygen Inhalation Therapy , Aircraft/instrumentation , Aircraft/standards , Oxygen Consumption/ethics , United States/ethnology , EuropeABSTRACT
It is unusual for pulmonologists to be familiar with the European and US regulations governing the administration of oxygen during air travel and each airline's policy in this respect. This lack of knowledge is in large part due to the scarcity of articles addressing this matter in specialized journals and the noticeably limited information provided by airlines on their websites. In this article we examine the regulations, the policies of some airlines and practical aspects that must be taken into account, so that the questions of a patient who may need to use oxygen during a flight may be answered satisfactorily.
