Acquired Ondine’s curse

• Autor(a) principal: Schestatsky, Pedro
• Data de Publicação: 2022
• Outros Autores: T. Fernandes, Luís Nelson, Silva, Ângela Cristiane
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Clinical and Biomedical Research
• Texto Completo: https://seer.ufrgs.br/index.php/hcpa/article/view/126054
• topic: Maldição de Ondina; hipoventilação alveolar central; insuficiência respiratória; apnéia do sono; Ondine’s curse; central alveolar hypoventilation; respiratory failure; sleep apnea

The authors report the case of a 55-year old black male, smoker, presenting diabetes, high blood pressure, and history of stroke, chronic bronchitis and airway obstruction. He was admitted to the emergency room at Hospital de Clínicas de Porto Alegre with symptoms of vertebrobasilar syndrome. During hospitalization, he had several episodes of prolonged apnea, mainly during his sleep, often having to be “reminded” to breathe. The brain scan revealed a hyperintense area in the lower portion of the brain stem in the controlling area for breathing. The patient was tracheostomized and submitted to assisted mechanic ventilation. Medroxyprogesteron, fluoxetin and acetazolamide were also administered. After 64 days, he was discharged from the hospital breathing ambient air and without apnea. On the next day, he returned to the emergency room presenting aspirative bronchopneumonia followed by septic shock and death.