A Case of Severe Obesity-Hypoventilation Syndrome Treated by Bilevel Positive Airway Pressure Therapy.
- Author:
Ho Jung KIM
1
;
Sungkyu HONG
;
Jin Kyu HAN
;
Byung Jo KIM
;
Kun Woo PARK
;
Dae Hie LEE
;
Kyungmi OH
;
Wan Ju SIM
;
Sang Su PARK
;
Seung Yung SHIN
Author Information
1. Department of Neurology, Korea University College of Medicine, Seoul, Korea. dystonia@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Obesity hypoventilation syndrome;
Bilevel positive airway pressure
- MeSH:
Anoxia;
Female;
Humans;
Hypoventilation;
Intubation, Intratracheal;
Lung Diseases;
Obesity;
Obesity Hypoventilation Syndrome*;
Obesity, Morbid;
Sleep Apnea, Obstructive;
Wakefulness
- From:Journal of the Korean Neurological Association
2005;23(6):836-839
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Obesity-Hypoventilation syndrome (OHS) is characterized by morbid obesity, hypoxia, and hypercapnea during wakefulness without parechymal lung disease or severe obstructive sleep apnea. A woman was admitted because of mental deterioration and diagnosed as OHS on the basis of obesity and hypoventilation, while awake, after ruling out other causes. By bilevel positive airway pressure (BiPAP) therapy, hypercapnea and hypoxia were resolved. We report that BiPAP can be an effective treatment for severe hypercapnea and hypoxia in OHS, which obviate the need for invasive endotracheal intubation.
