Central Hypoventilation Syndrome in Posterior Circulation Stroke Treated by Respiratory Rehabilitation: a Case Report
Brain & Neurorehabilitation
; : e4-2019.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-739329
Biblioteca responsable:
WPRO
ABSTRACT
Central hypoventilation syndrome is a rare and fatal condition resulting from various central nervous system disorders that is characterized by a failure of automatic breathing. We report a case of central hypoventilation syndrome following posterior circulation stroke whose pulmonary function was improved by respiratory rehabilitation. A 59-year-old woman with a history of hemorrhagic stroke of the bilateral cerebellum was hospitalized due to pneumonia. A portable ventilator was applied via tracheostomy, recurrent episodes of apnea and hypercapnia impeded weaning. A respiratory rehabilitation program including chest wall range of motion exercise, air stacking exercise, neuromuscular electrical stimulation (NMES) on abdominal muscles, upper extremity ergometer, locomotor training, high-frequency chest wall oscillator, mechanical insufflation, and exsufflation was employed, as spirometry showed a severe restrictive pattern. A spontaneous breathing trial was started, and a portable ventilator was applied for 8 hours, only during nighttime, to prevent sudden apneic event. After 4 weeks of treatment, follow-up spirometry showed much improved respiratory parameters. This case suggests that respiratory rehabilitation can improve pulmonary function parameters and quality of life in central hypoventilation syndrome.
Texto completo:
Disponible
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Apnea
/
Neumonía
/
Calidad de Vida
/
Rehabilitación
/
Respiración
/
Centro Respiratorio
/
Espirometría
/
Destete
/
Traqueostomía
/
Insuflación
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Aspecto:
Preferencia del paciente
Límite:
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Brain & Neurorehabilitation
Año:
2019
Tipo del documento:
Artículo