Ondine's Curse in a Patient with Right Medullary and Bilateral Cerebellar Infarctions: A Case Report.
- Author:
Joo Hyun SUH
1
;
Eun Kyung EO
Author Information
1. Department of Internal Medicine, Gachon University of Medicine and Science, Korea.
- Publication Type:Case Report
- Keywords:
Central sleep apnea;
Posterior circulation brain infarction;
Brainstem infarction;
Hydrocephalus
- MeSH:
Arm;
Ataxia;
Brain Infarction;
Brain Stem;
Brain Stem Infarctions;
Consciousness;
Craniotomy;
Drainage;
Early Diagnosis;
Humans;
Hydrocephalus;
Infarction*;
Intubation, Intratracheal;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Nausea;
Respiration, Artificial;
Sleep Apnea, Central;
Stroke;
Ventilation
- From:Journal of the Korean Society of Emergency Medicine
2007;18(4):355-358
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Failure of automatic control of ventilation (Ondine's curse syndrome) is a rare syndrome that sometimes occurs following localized brainstem dysfunction. In this report, we present a case of a 52-year-old male who was admitted to the hospital with sudden-onset nausea. On examination, no lateralization signs were presented. After one hour, his consciousness was altered and he became apneic. After endotracheal intubation and mechanical ventilation, his mentality improved and he was able to ventilate spontaneously. Cranial magnetic resonance imaging demonstrated acute infarction in both cerebellar inferior aspects involving the right side of the medulla. Eleven hours later, the patient's consciousness altered again. Computed tomography demonstrated newly developed hydrocephalus and emergent craniotomy, and extraventricular drainage were performed. The patient improved in both consciousness and respiratory status but complained of mild ataxia and left arm weakness. We recommend cautious examination and early diagnosis and therapeutic decisions in cases of patients with atypical presentation of stroke.
