6533b855fe1ef96bd12b09d0

RESEARCH PRODUCT

Focus on functional delayed central sleep apnea following cervical laminectomy. An example of respiratory dysfunction in restorative neurosurgical procedures

Giuseppe BarbagalloMassimiliano VisocchiGerardo IacopinoAntonino Germanò

subject

medicine.medical_specialtyCentral sleep apneamedicine.medical_treatmentPolysomnographyAudiology03 medical and health sciencesPostoperative Complications0302 clinical medicineCervical laminectomymedicineParalysisHumansPhrenic nerveCentral sleep apnea; Cervical laminectomy; Obstructive sleep apnea; Surgery; Neurology (clinical)medicine.diagnostic_testSettore MED/27 - Neurochirurgiabusiness.industryLaminectomyLaminectomySleep apneaApneamedicine.diseaseSleep Apnea CentralObstructive sleep apneaObstructive sleep apneaAnesthesiaCervical Vertebrae030211 gastroenterology & hepatologySurgerySpondylosisCentral sleep apneaNeurology (clinical)medicine.symptombusinessSpinal Cord Compression030217 neurology & neurosurgery

description

In sleep-related breathing disorders, sleep apnea is a clinical symptom that can be categorized as obstructive sleep apnea (OSA) or mixed apnea by analysis using poly-somnography. The occurrence of delayed central sleep apnea (CSA) is an extremely rare complication of cervical laminectomy for spondylotic myelopathy. So far only three studies concerning such an event have been reported in the literature. Naim-ur-Rahman, in 1994, reported a case of postoperative CSA following C3-C6 laminectomy, and Visocchi and colleagues, in 2014, in two studies, stressed the lack of association with any other neurological sign of spinal cord damage. No definitive mechanism has been recognized so far for delayed CSA after cervical laminectomy. A transient dysfunction of the reticulo-spinal fibers directed to the nucleus of the phrenic nerve can be speculated, although neither emidiaphragm paralysis, nor any prominent nocturnal sleep- related disorders are associated with this delayed CSA.

yearjournalcountryeditionlanguage
2017-01-01
10.1007/978-3-319-39546-3_33http://hdl.handle.net/20.500.11769/307083