一般社団法人日本呼吸器学会 公式サイト
日本呼吸器学会英文誌 Respiratory Investigation
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集

Abstract

Full Text of PDF Full Text of PDF (283k)
Article in Japanese

Case Report

A case of Wallenberg's syndrome and central alveolar hypoventilation caused by lateral medullary infarction

Takahiro Hagaa,b  Mizuki Fukuokaa,b  Mizuo Moritaa  Kohei Choa  Koichiro Tatsumib 

aDepartment of Respiratory Medicine, Nissan Tamagawa Hospital
bDepartment of Respirology, Graduate School of Medicine, Chiba University

ABSTRACT

A 49-year-old male presented with nausea that had developed two hours previously and was admitted for follow-up observation. He was subsequently intubated for severe pneumonia, with the onset of nocturnal hypercapnia following regression of the pneumonia. A tracheotomy was performed, and a neurological examination revealed left Wallenberg's syndrome. Left lateral medullary infarction caused by dissection of the left vertebral artery was identified on magnetic resonance images. Although nocturnal ventilation was continued, the patient was discharged on the 67th day. Nocturnal central alveolar hypoventilation should be taken into consideration with Wallenberg's syndrome.

KEYWORDS

Wallenberg's syndrome  Central alveolar hypoventilation  Respiratory failure 

Received 2 Dec 2014 / Accepted 13 Mar 2015

AJRS, 4(4): 319-322, 2015

Google Scholar