Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2010

Open Access 01-12-2010 | Case report

Effect of continuous positive airway pressure therapy on a large hemangioma complicated with obstructive sleep apnea syndrome: a case report

Authors: Maria Antoniadou, Paschalis Steiropoulos, Evangelia Serasli, Venetia Tsara

Published in: Journal of Medical Case Reports | Issue 1/2010

Login to get access

Abstract

Introduction

Hemangiomas involving the upper airway can be an uncommon cause of obstructive sleep apnea syndrome.

Case presentation

A 26-year-old Caucasian man with a known history of a large hemangioma of his head and neck presented with sleep-disordered breathing to the sleep unit of our hospital. Severe obstructive sleep apnea syndrome was revealed on polysomnography. Nasal continuous positive airway pressure was implemented effectively, reducing daytime hypersomnolence and significantly improving sleep parameters. After three years of adherent use, the patient remains in a good condition and the hemangioma is stable.

Conclusion

Application of continuous positive airway pressure can be an effective treatment for patients with obstructive sleep apnea syndrome complicated with vascular tumors. Periodic follow-up of these patients is necessary, as little is known about the long-term effects of continuous positive airway pressure therapy.
Appendix
Available only for authorised users
Literature
1.
go back to reference Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S: The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993, 328: 1230-1235. 10.1056/NEJM199304293281704.CrossRefPubMed Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S: The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993, 328: 1230-1235. 10.1056/NEJM199304293281704.CrossRefPubMed
3.
go back to reference Patil SP, Schneider H, Schwartz AR, Smith PL: Adult obstructive sleep apnea: pathophysiology and diagnosis. Chest. 2007, 132: 325-337. 10.1378/chest.07-0040.CrossRefPubMedPubMedCentral Patil SP, Schneider H, Schwartz AR, Smith PL: Adult obstructive sleep apnea: pathophysiology and diagnosis. Chest. 2007, 132: 325-337. 10.1378/chest.07-0040.CrossRefPubMedPubMedCentral
4.
go back to reference Sher AE: Obstructive sleep apnea syndrome: a complex disorder of the upper airway. Otolaryngol Clin North Am. 1990, 23: 593-608.PubMed Sher AE: Obstructive sleep apnea syndrome: a complex disorder of the upper airway. Otolaryngol Clin North Am. 1990, 23: 593-608.PubMed
5.
go back to reference Drolet BA, Esterly NB, Frieden IJ: Hemangiomas in children. N Engl J Med. 1999, 341: 173-181. 10.1056/NEJM199907153410307.CrossRefPubMed Drolet BA, Esterly NB, Frieden IJ: Hemangiomas in children. N Engl J Med. 1999, 341: 173-181. 10.1056/NEJM199907153410307.CrossRefPubMed
6.
go back to reference Smolinski KN, Yan AC: Hemangiomas of infancy: clinical and biological characteristics. Clin Pediatr. 2005, 44: 747-766. 10.1177/000992280504400902.CrossRef Smolinski KN, Yan AC: Hemangiomas of infancy: clinical and biological characteristics. Clin Pediatr. 2005, 44: 747-766. 10.1177/000992280504400902.CrossRef
7.
go back to reference Kesava PP, Turski PA: MR angiography of vascular malformations. Neuroimaging Clin N Am. 1998, 8: 349-370.PubMed Kesava PP, Turski PA: MR angiography of vascular malformations. Neuroimaging Clin N Am. 1998, 8: 349-370.PubMed
8.
go back to reference Vilanova JC, Barceló J, Villalón M: MR and MR angiography characterization of soft tissue vascular malformations. Curr Probl Diagn Radiol. 2004, 33: 161-170. 10.1016/j.cpradiol.2004.04.001.CrossRefPubMed Vilanova JC, Barceló J, Villalón M: MR and MR angiography characterization of soft tissue vascular malformations. Curr Probl Diagn Radiol. 2004, 33: 161-170. 10.1016/j.cpradiol.2004.04.001.CrossRefPubMed
9.
10.
go back to reference Poetke M, Philipp C, Berlien HP: Flashlamp-pumped pulsed dye laser for hemangiomas in infancy: treatment of superficial vs mixed hemangiomas. Arch Dermatol. 2000, 136: 628-632. 10.1001/archderm.136.5.628.CrossRefPubMed Poetke M, Philipp C, Berlien HP: Flashlamp-pumped pulsed dye laser for hemangiomas in infancy: treatment of superficial vs mixed hemangiomas. Arch Dermatol. 2000, 136: 628-632. 10.1001/archderm.136.5.628.CrossRefPubMed
11.
go back to reference Cholewa D, Waldschmidt J: Laser treatment of hemangiomas of the larynx and trachea. Lasers Surg Med. 1998, 23: 221-322. 10.1002/(SICI)1096-9101(1998)23:4<221::AID-LSM5>3.0.CO;2-A.CrossRefPubMed Cholewa D, Waldschmidt J: Laser treatment of hemangiomas of the larynx and trachea. Lasers Surg Med. 1998, 23: 221-322. 10.1002/(SICI)1096-9101(1998)23:4<221::AID-LSM5>3.0.CO;2-A.CrossRefPubMed
12.
go back to reference Kimura K, Adlakha A, Staats BA, Shepard JW: Successful treatment of obstructive sleep apnea with use of nasal continuous positive airway pressure in three patients with mucosal hemangiomas of the oral cavity. Mayo Clin Proc. 1999, 74: 155-158. 10.4065/74.2.155.CrossRefPubMed Kimura K, Adlakha A, Staats BA, Shepard JW: Successful treatment of obstructive sleep apnea with use of nasal continuous positive airway pressure in three patients with mucosal hemangiomas of the oral cavity. Mayo Clin Proc. 1999, 74: 155-158. 10.4065/74.2.155.CrossRefPubMed
13.
go back to reference Becker R, Schäfer H, Bauer BL: Intracranial pressure in sleep apnea, hydrocephalus and congenital hemangioma. A case report. Zentralbl Neurochir. 1994, 55: 63-68.PubMed Becker R, Schäfer H, Bauer BL: Intracranial pressure in sleep apnea, hydrocephalus and congenital hemangioma. A case report. Zentralbl Neurochir. 1994, 55: 63-68.PubMed
14.
go back to reference Semino L, Pagella F, Delù G, Todeschini A, Luinetti O, Zappoli F, Castelnuovo P: Endoscopic treatment of ethmoidal hemangioendothelioma: case report and review of the literature. Am J Otolaryngol. 2006, 27: 287-290. 10.1016/j.amjoto.2005.11.006.CrossRefPubMed Semino L, Pagella F, Delù G, Todeschini A, Luinetti O, Zappoli F, Castelnuovo P: Endoscopic treatment of ethmoidal hemangioendothelioma: case report and review of the literature. Am J Otolaryngol. 2006, 27: 287-290. 10.1016/j.amjoto.2005.11.006.CrossRefPubMed
15.
go back to reference Thong JF, Pang KP, Siow JK: Hemangioma of the uvula causing loud habitual snoring - a rare entity. Med J Malaysia. 2008, 63: 408-409.PubMed Thong JF, Pang KP, Siow JK: Hemangioma of the uvula causing loud habitual snoring - a rare entity. Med J Malaysia. 2008, 63: 408-409.PubMed
Metadata
Title
Effect of continuous positive airway pressure therapy on a large hemangioma complicated with obstructive sleep apnea syndrome: a case report
Authors
Maria Antoniadou
Paschalis Steiropoulos
Evangelia Serasli
Venetia Tsara
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2010
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-4-271

Other articles of this Issue 1/2010

Journal of Medical Case Reports 1/2010 Go to the issue