Severe Obstructive Sleep Apnoea Leading to Raised Intracranial Pressure Hydrocephalus in a Patient with Aqueduct Stenosis

  • Hilary McLoughlin Portiuncula University Hospital, Ballinasloe, Ireland
  • Gearoid Coughlin Portiuncula University Hospital, Ballinasloe, Ireland
  • Iftikhar Nadeem Lister Hospital, Stevenage, United Kingdom
  • Emma Burke Portiuncula University Hospital, Ballinasloe, Ireland

Keywords

Severe obstructive sleep apnoea, raised intracranial pressure hydrocephalus, aqueduct stenosis

Abstract

We present the case of a patient with severe obstructive sleep apnoea (OSA) and hypoventilation syndrome who had hydrocephalus and acquired aqueduct stenosis. A link between these conditions in our patient is postulated. We discuss the mechanisms through which this might have occurred and the potential problems which might arise in applying non-invasive ventilation to a patient with hydrocephalus.

VIEW THE ENTIRE ARTICLE

References

Sugita Y, Iijima S, Teshima Y, Shimizu T, Nishimura N, Tsutsumi T, et al. Marked episodic elevation of cerebrospinal fluid pressure during nocturnal sleep in patients with sleep apnoea hypersomnia syndrome. Electroencephalogr Clin Neurophysiol 1985;60:214–219.

Jennum P, Børgesen SE. Intracranial pressure and obstructive sleep apnea. Chest 1989;95:279–283.

Kristensen B, Malm J, Rabben T. Effects of transient and persistent cerebrospinal fluid drainage on sleep disordered breathing in patients with idiopathic adult hydrocephalus syndrome. J Neurol Neurosurg Psychiatry 1998;65:497–501.

Oliviera MF, Nacif SR, Castellano O, Sousa UO, Rotta JM, Pinto FCG. Improvement of central sleep apnoeas following ventricular shunt for normal pressure hydrocephalus. J Neuropsychiatry Clin Neurosci 2015;27(3):e206–208.

Bech RA, Waldemar G, Gjerris F, Klinken L, Juhler M. Shunting effects in patients with idiopathic normal pressure hydrocephalus with cerebral and leptomeningeal biopsy findings. Acta Neurochir (Wien)1999;141(6):633–639.

Sankhyan N, Vykunta Raju KN, Sharma S, Gulati S. Management of raised intracranial pressure. Indian J Paediatr 2010;77:1409–1416.

Published: 2021-01-14

Issue: LATEST ONLINE (view)

Section: Articles

How to cite:
1.
McLoughlin H, Coughlin G, Nadeem I, Burke E. Severe Obstructive Sleep Apnoea Leading to Raised Intracranial Pressure Hydrocephalus in a Patient with Aqueduct Stenosis. EJCRIM 2021;2 doi:10.12890/2021_002229.