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01-11-2021 | Sleep Apnea | Case Report - Neurosurgery general

CO₂-induced intracranial hypertension and high-amplitude B-waves in a patient with Chiari 1 malformation and sleep apnea syndrome that resolved following CPAP therapy

Authors: Maria A. Poca, Alex Ferré, Maria D. de la Calzada, Dulce Moncho, Sara Fernandez-Torrelles, Juan Sahuquillo

Published in: Acta Neurochirurgica | Issue 11/2021

Abstract

Headaches and cognitive impairment in the elderly population have been described as symptoms related to obstructive sleep apnea (OSA). Although papilledema has been observed in some of these patients, suggesting intracranial hypertension (ICH), there are only a few studies in which intracranial pressure (ICP) has been continuously measured in patients with OSA without neurological disease. We present a patient diagnosed with Chiari Type 1 malformation and OSA, who present normal ICP recording during the day and nocturnal ICH associated with high amplitude B-waves and hypercapnia during obstructive apneas, which disappeared following continuous positive airway pressure (CPAP) therapy. The normalization of the cerebral and respiratory parameters with CPAP therapy is important for performing the correct treatment in these patients.

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Title: CO2-induced intracranial hypertension and high-amplitude B-waves in a patient with Chiari 1 malformation and sleep apnea syndrome that resolved following CPAP therapy
Authors: Maria A. Poca
Alex Ferré
Maria D. de la Calzada
Dulce Moncho
Sara Fernandez-Torrelles
Juan Sahuquillo
Publication date: 01-11-2021
Publisher: Springer Vienna
Keywords: Sleep Apnea
Intracranial Hypertension
Chiari Malformation
Polysomnography
Chiari Malformation
Hypertension
Published in: Acta Neurochirurgica / Issue 11/2021
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-021-04717-2

At a glance: The STEP trials

Springer Medicine

CO₂-induced intracranial hypertension and high-amplitude B-waves in a patient with Chiari 1 malformation and sleep apnea syndrome that resolved following CPAP therapy

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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