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- Faludi, BélaDepartment of Neurology, University of Pécs, Pécs, Hungary (author)
Combination of severe facialand cervical vascular malformation with obstructive sleep apnea syndrome : Diagnostic and therapeutic approaches
- Article/chapterEnglish2017
Publisher, publication year, extent ...
- 2017
- Literatura Medica Kiado,2017
- printrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:oru-113250
- https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-113250URI
- https://doi.org/10.18071/isz.70.0007DOI
Supplementary language notes
- Language:English
- Summary in:English
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- SwePubSwePub
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Notes
- The combination of obstructive sleep apnea syndrome and vascular malformation within the head and neck region is a rare condition, and interestingly, only a few cases have recently been published. Propagation of the vascular mass to the larynx and pharynx can cause breathing and swallowing difficulties. Due to these sypmtoms, examination and initiation of appropriate therapy for such patients are indeed challenging. We reviewed the literature available and present our case of a 64 year old woman emphasizing the complaints of sleep apnea syndrome and vascular malformation of the face and neck region. Polygraphic examination detected severe obstructive sleep apnea syndrome. The MR examination of the neck revealed extensive vascular mass narrowing the pharyngo-laryngeal region, thereby causing temporal bone destruction on the right side with intracranial propagation. ENT examination demonstrated significant narrowing of the pharyngeal lumen and the laryngeal aditus caused by multiple hemangiomas. CPAP titration showed the minimalization of the apnea-hypopnea index on the effective pressure level. Regular CPAP usage resulted in diminishing a majority of the patient's complaints. Our examination clearly demonstrates, obstructive sleep apnea syndrome coupled with significantly obstructing vascular malformation in the head and neck region can be effectively treated safely with a CPAP device, if surgical therapy is not possible. We summarized our findings and the data available in the literature to set up recommendations for the appropriate examination and therapy (including mask fit, etc.) of vascular malformations and hemangiomas causing pharyngolaryngeal obstruction.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
- CPAP
- MR
- fluid shift theory
- obstructive sleep apnoe syndrome
- vascular malformation
Added entries (persons, corporate bodies, meetings, titles ...)
- Imre, MariannaDiagnostic Center, Pécs, Hungary (author)
- Büki, Andras,1966-Department of Neurosurgery, University of Pécs, Pécs, Hungary(Swepub:oru)asbi (author)
- Komoly, SámuelDepartment of Neurology, University of Pécs, Pécs, Hungary (author)
- Lujber, LászlóDepartment of Otorhinolaryngology, University of Pécs, Pécs, Hungary (author)
- Department of Neurology, University of Pécs, Pécs, HungaryDiagnostic Center, Pécs, Hungary (creator_code:org_t)
Related titles
- In:Ideggyogyaszati Szemle: Literatura Medica Kiado70:1-2, s. 7-130019-14422498-6208
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