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Cepeda-Valery B B The Institute for Heart and Vascular Health and Cardiovascular Diseases, Einstein Medical Center, 5501 Old York Road, Philadelphia, PA, 19144, USA, - - 2014
Obstructive sleep apnea (OSA) is characterized by upper airway collapse and airflow reduction despite respiratory effort, resulting in intermittent hypoxia and arousals, leading to a cascade of hemodynamic, autonomic, inflammatory, and metabolic effects, responsible for its adverse cardiovascular effect. OSA is an independent risk factor for cardiovascular disease, and its ...
Montjean D D Service of Medicine and Reproductive Biology, Saint-Joseph Hospital, Marseille, - - 2014
The present article is a report on two cases of male Kartagener's syndrome enrolled in intraconjugal IVF programme due to akinetospermia. Viable spermatozoa were selected using a hypo-osmotic swelling test (HOST) and pentoxifylline activation and subsequently microinjected into vitrified/warmed oocytes. The treatment enabled one of these two couples to achieve ...
Esteller Eduard E Servicio de Otorrinolaringología, Hospital General de Catalunya, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España. Electronic address: - - 2014
The prevalence of obstructive sleep apnea-hypopnea syndrome in the general childhood population is 1-2% and the most common cause is adenotonsillar hypertrophy. However, beyond adenotonsillar hypertrophy, there are other highly prevalent causes of this syndrome in children. The causes are often multifactorial and include muscular hypotonia, dentofacial abnormalities, soft tissue ...
Silvestre Jason J Division of Plastic Surgery, The Perelman School of Medicine at the University of Pennsylvania, The Children's Hospital of Philadelphia, USA. Electronic address: - - 2014
Craniofacial malformations including cleft lip and/or palate (CL/P) increase risk for obstructive sleep apnea (OSA). While 30% of CL/P occurs in the context of underlying genetic syndromes, few studies have investigated the prevalence of OSA in this high-risk group. This study aims to determine the incidence and risk factors of ...
Esquinas Antonio M AM Intensive Care Unit and Non invasive Ventilatory Unit, Hospital Morales Meseguer, Avenida Marques Velez s/n, 30.008, Murcia, Spain, - - 2014
Overlap syndrome and represents a complex clinical condition in pulmonary medicine. We discuss in this letter factors related with mortality after long-term effects CPAP and key differences between hypercapnic versus hypoxemic overlap patients.
Hamilton Jane J University of Glasgow, United - - 2014
Children with Cornelia de Lange syndrome frequently present to otolaryngology services with hearing problems. Airway problems have not previously been reported. We wish to describe our experience of the overall management in a series of children with Cornelia de Lange syndrome. Retrospective case note review of children diagnosed with Cornelia ...
Gupta Babita B Department of Anaesthesiology, Jai Prakash Narayan Apex Trauma Center (JPNATC), All India Institute of Medical Sciences (AIIMS), New Delhi, India. Electronic address: - - 2014
Difficult airway is always of special concern to anesthesiologists, but in a trauma setting where having a secured airway is most important, the incidence of difficult airway increases manifold. We report a "cannot ventilate cannot intubate" situation in a trauma patient who was later diagnosed to have arthrogryposis multiplex congenita, ...
Hashimoto Megumi M Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan, - - 2014
In individuals with Down syndrome, hypotonicity of the tongue and an underdeveloped maxilla may lead to poor oral motor coordination, which adversely affects the oral phase of swallowing. This study aimed to evaluate the characteristics of pressure produced by the tongue against the hard palate during swallowing in individuals with ...
Deary Vincent V Northumbria Centre for Sleep Research, Northumbria University, Newcastle upon Tyne, - - 2014
Simple snoring (SS), in the absence of obstructive sleep apnoea (OSA), is a common problem, yet our understanding of its causes and consequences is incomplete. Our understanding is blurred by the lack of consistency in the definition of snoring, methods of assessment, and degree of concomitant complaints. Further, it remains ...
Toranto Jason D JD From the *Division of Aesthetic and Plastic Surgery, University of California, Irvine; Divisions of †Pulmonology, ‡Otolaryngology, and §Plastic Surgery, Children's Hospital Los Angeles, Los Angeles, - - 2014
Freeman-Sheldon syndrome, or distal arthrogryposis type IIA (DA 2A), is a rare and severe multiple congenital contracture syndrome that is associated with upper airway obstruction. This obstruction has been clinically significant enough to warrant tracheostomy and has been associated with mortality. We describe a patient who presented to us as ...
Venkatram Sindhaghatta S *Division of Pulmonary and Critical Care Medicine †Division of Pulmonary and Critical Care Medicine Departments of ‡Internal Medicine §Pathology, Bronx Lebanon Hospital Center, Bronx, - - 2014
Ectopic adrenocorticotropic hormone secretion is responsible for 12% to 17% of all cases of the Cushing syndrome. One of the most commonly described causes of ectopic adrenocorticotropic hormone secretion is small cell carcinoma of the lung. A rare cause includes a functioning neuroendocrine tumor traditionally known as carcinoids that account ...
Chin Christopher J CJ Department of Otolaryngology - Head and Neck Surgery, Western University, London, - - 2014
Down Syndrome (DS) is the most common chromosome abnormality in liveborn children. Otolaryngologists frequently encounter these patients in their practice; in one survey, 50% of DS patients had been seen by Otolaryngology at least once. As such, it is essential that the practicing Otolaryngologist is aware of the otologic, rhinologic, ...
Nicot Romain R From the *Univ Lille Nord de France; †Oral and Maxillofacial Department, Roger Salengro Hospital; ‡INSERM U 1008, Controlled Drug Delivery Systems and Biomaterials; and §Service de Chirurgie Plastique, Reconstructrice et Esthétique, Hôpital Roger-Salengro, Lille; and ∥International Association of Oral and Maxillofacial Medicine, Villeneuve-d'Ascq, - - 2014
Basal cell nevus syndrome (BCNS) is a rare autosomal dominant disorder with complete penetrance and variable expressivity. This syndrome is characterized by developmental anomalies, such as odontogenic keratocysts of the jaws, multiple basal cell carcinomas, and skeletal abnormalities. Various neoplasms or hamartomas were observed in association with BCNS.We report on ...
Puthalapattu Swathy S From the *Topeka Veterans Affairs Medical Center, Topeka, KS; and †Atlanta Veterans Affairs Medical Center and Emory University, Atlanta, - - 2014
Asthma and obstructive sleep apnea (OSA) are among the most prevalent chronic human diseases of the 21st century. They share several risk and aggravating factors such as obesity, smoking, gastroesophageal reflux, sinonasal disease or upper airway involvement, systemic inflammation, etc. Although the association between OSA and chronic obstructive pulmonary disease ...
Cizza Giovanni G 1 Section on Neuroendocrinology of Obesity, Diabetes, Endocrinology, and Obesity Branch/National Institute of Diabetes & Digestive & Kidney Diseases (DEOB/NIDDK) , Bethesda, - - 2014
Abstract Background: The constellation of metabolic syndrome, although controversial with regard to its clinical usefulness, is epidemiologically related to increased diabetes risk and cardiovascular mortality. Our goal was to investigate the associations among neck circumference (NC), obstructive sleep apnea syndromes (OSAS), and metabolic syndrome in obese men and women sleeping ...
Pilkauskaite Guoda G Department of Pulmonology and Immunology, Lithuanian University of Health Sciences, Eiveniu 2, 50009, Kaunas, Lithuania, - - 2014
Mechanisms linking obstructive sleep apnea (OSA) to vascular diseases as well as obesity and metabolic syndrome are not clear. The purpose of the study was to evaluate levels of vascular adhesion molecules (soluble vascular cell adhesion molecules-1 (sVCAM-1) and E-selectin) in men with obstructive sleep apnea and control subjects and ...
Barceló Antonia A Servei d'Anàlisis Cliniques, Hospital Universitari Son Espases, Palma de Mallorca; Servei de Pneumologia, Spain ; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Mallorca, Illes Balears, - - 2014
Metabolic syndrome (MS) occurs frequently in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS). We hypothesized that aldosterone levels are elevated in OSAHS and associated with the presence of MS. We studied 66 patients with OSAHS (33 with MS and 33 without MS) and 35 controls. The occurrence of the MS ...
Butterworth James W JW Respiratory Support and Sleep Centre, Papworth Hospital, Cambridge, - - 2014
The best characterised disorder of REM sleep, narcolepsy has never previously been associated with Duane's syndrome, in which there is developmental failure of the abducens nerve and its nucleus. The major brain stem nuclei responsible for REM sleep generation are situated in the pons in close proximity to the abducens ...
Biscardi Frank Hugo FH Section of Pulmonary Medicine, Critical Care and Sleep Disorders, Department of Internal Medicine, Virginia Tech Carilion, School of Medicine and Research Institute, Roanoke, Virginia, USA ; Roanoke Memorial, Roanoke, Virginia, USA ; Stonewall Jackson Hospital Sleep Centers, Roanoke, Virginia, - - 2014
The coexistence of sleep apnea-hypopnea syndrome (SAHS) with chronic obstructive pulmonary disease (COPD) occurs commonly. This so called overlap syndrome leads to more profound hypoxemia, hypercapnic respiratory failure, and pulmonary hypertension than each of these conditions independently. Not infrequently, these patients show profound hypoxemia, despite optimal continuous positive airway pressure ...
Garbarino Sergio S Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal-Infantile Sciences (DINOGMI), and Department of Health Sciences, University of Genoa, Genoa, - - 2014
To determine the frequency of obstructive sleep apnea syndrome (OSAS), metabolic syndrome and common mental disorders in the working population of 11 small enterprises and the feasibility of a program of action for health. The clinical risk of OSAS, the prevalence of metabolic syndrome, and the level of psychological disorders ...
Reverdin Alexandra K AK Department of Pediatrics, Division of Pediatric Pulmonary Medicine, The University of Texas Health Science Center at Houston, Houston, Texas, - - 2014
Congenital central hypoventilation syndrome (CCHS) is the failure of the autonomic system to control adequate ventilation while asleep with preserved ventilatory response while awake. We report a case of a patient with CCHS who presented with intrathoracic and extrathoracic airway obstruction after tracheostomy tube decannulation and phrenic nerve pacer placement. ...
Véber Orsolya O 1 Institute of Behavioural Sciences, Sleep Medicine Team, Semmelweis University Faculty of Medicine , Budapest, Hungary - - 2013
Abstract Background: Obstructive sleep apnea (OSA) is often accompanied by the metabolic syndrome. Because both conditions are associated with depressed heart rate variability (HRV) separately, our aim was to study whether co-morbid OSA is associated with more reduced HRV in male patients with the metabolic syndrome. Methods: In this cross-sectional ...
Tan A A Department of Anaesthesia, National University Health System (NUHS), Main Building Level 3, 5 Lower Kent Ridge Road, Singapore 119074. - - 2013
Leigh's syndrome, which is characterised by progressive neurodegeneration involving the brainstem and basal ganglia, belongs to a family of disorders classified as mitochondrial myopathies. It is most commonly transmitted by an autosomal recessive mode of inheritance, but can sometimes occur in a mitochondrial pattern. It typically presents during infancy with ...
Szczapa T - - 2013
A full-term newborn infant is described with recurrent episodes of oxygen desaturation and apnea on the day of birth. The apnea did not improve with continuous positive airway pressure (CPAP) and intermittent nasal ventilation, therefore intubation and mechanical ventilation were required. A preliminary diagnosis of congenital central hypoventilation syndrome (CCHS) ...
Driessen Caroline - - 2013
The aim of this study was to test the hypothesis that obstructive sleep apnea syndrome (OSAS) exhibits oxidative stress and inflammation in patients who have a congenital, craniofacial anomaly.This prospective, cross-sectional cohort study included ambulant sleep study data to asses OSAS in patients with syndromic craniosynostosis and Treacher Collins syndrome. ...
Rezaeetalab Fariba - - 2013
Obstructive sleep apnea (OSA) and chronic obstructive pulmonary disease (COPD) are two of the most common chronic respiratory disorders. Co-existence of both conditions, referred as overlap syndrome (OLS), is associated with substantially high rates of mortality and morbidity. The present study aimed to evaluate the effect of inhaled corticosteroids (ICS) ...
Caimi G - - 2013
We determined the concentration of nitric oxide metabolites (NO2-+NO3-), expressed as NOx, in several clinical conditions. Regarding this, we have examined 25 subjects with arterial hypertension, 41 subjects with chronic kidney disease in conservative treatment, 106 subjects with metabolic syndrome subdivided according to the presence (n = 43) or not ...
Correia-Sá Inês - - 2013
Lehman syndrome, or lateral meningocele syndrome, is characterized by facial dysmorphism, multiple lateral meningoceles, and skeletal abnormalities. Only nine cases have been described. We present a case of a 2-year-old boy presenting with micrognathia, glossoptosis, and hypertelorism as well as associated severe obstructive sleep apnea. He was submitted to bilateral ...
Goldstein Jesse A - - 2013
Syndromic craniosynostosis (SC) may cause intracranial hypertension, exorbitism, midfacial hypoplasia associated with airway obstruction, and class III malocclusion. Current treatment strategies for SC involve expansion of the cranial vault and orbits, and midfacial advancement to relieve symptoms and sequelae of obstructive sleep apnea. We present a case of a 12-week-old ...
Wang Tsai-Yu - - 2013
BACKGROUND: Exercise limitation is an important issue in patients with chronic obstructive pulmonary disease (COPD), and it often co-exists with obstructive sleep apnoea (overlap syndrome). This study examined the effects of nocturnal continuous positive airway pressure (CPAP) treatment on walking capacity in COPD patients with or without obstructive sleep apnoea. ...
Mitsukawa Nobuyuki - - 2013
Syndromic craniosynostosis is known to be associated with various obstructive respiratory disorders, including sleep apnoea. We performed early midfacial distraction in 11 syndromic craniosynostotic patients with obstructive respiratory apnoea and obtained good results. There were four patients with Crouzon syndrome, three patients with Pfeiffer syndrome and four patients with Apert ...
Zandieh Stephanie O SO Department of Pediatric Pulmonology, New York University Langone Medical Center, New York University School of Medicine, - - 2013
The role of adenotonsillectomy in the treatment of obstructive sleep apnea in patients with craniosynostosis is not well established. A retrospective review was conducted of all children with syndromic craniosynostosis (Apert, Crouzon, and Pfeiffer syndromes) seen at Boston Children's Hospital from January 2001 through April 2011. The primary outcome measure ...
Grilo Antonio A Unidad de Hipertensión, Servicio de Medicina Interna, Hospital Universitario de Valme, Carretera de Cádiz S/N., 41014 Seville, - - 2013
Obstructive sleep apnea (OSA) is a common disorder characterized by the reduction or complete cessation in airflow resulting from an obstruction of the upper airway. Several studies have observed an increased risk for cardiovascular morbidity and mortality among OSA patients. Metabolic syndrome (MetS), a cluster of cardiovascular risk factors characterized ...
Tulek Baykal - - 2013
Obstructive sleep apnoea syndrome is associated with executive cognitive impairment. An important question is whether impairment in executive functioning in obstructive sleep apnoea syndrome is independent of dysfunction in attention. Attentional control is a subcomponent of executive functioning that is mediated by frontal lobe processing. In the current study, we ...
Rahmani Aiman - - 2013
A full term female newborn was admitted to the neonatal intensive care unit (NICU) for continuous observation of apnea. Infant was noted to have apnea while asleep requiring intubation and mechanical ventilation. A video EEG was performed which demonstrated normal awake background without any seizure activity. Neurally adjusted ventilatory assist ...
Ioachimescu Octavian C - - 2013
Obstructive lung disorders (OLDs), such as asthma and chronic obstructive pulmonary disease (COPD) are very prevalent conditions. Disease phenotypes (e.g., chronic bronchitis, emphysema, etc) often overlap, and significant confusion exists about their optimal nosologic characterization. Obstructive sleep apnea (OSA) is also a common condition, which features bidirectional interactions with OLDs. ...
Filiaci Fabio - - 2013
In pediatric patients, the incidence of Sleep-Disorder breathing (SDB) is 2% for OSAS and 7-8% for snoring. Snoring, sleep apnea and the development of neurocognitive and behavioral disorders represent the main symptoms. In these children, snoring is noisy and is present for the greater part of sleep. Accurate diagnosis and ...
Morton Adam - - 2013
I read with interest the study by Phelan et al reporting neutrophil leucocytosis in polycystic ovarian syndrome (PCOS) incompletely explained by obesity and insulin resistance. The high prevalence of obstructive sleep apnoea (OSA) in women with PCOS, and resulting increased sympathetic activity may be a contributing factor. Forty-four to seventy ...
Bruwer Zandrè - - 2013
The Genetic and Endoscopic Surveillance Clinic is an annual outreach service offering accessible colonoscopic surveillance to known families with Lynch syndrome living in remote areas of the Western and Northern Cape Province of South Africa. Unfortunately attendance at this outreach clinic has been declining over several years and fewer than ...
Hung Hao-Chang - - 2013
Short and long sleep duration are associated with metabolic syndrome. However, there is limited research on the association between sleep quality and metabolic syndrome, and thus the aim of this study is to investigate this relationship. The cross-sectional baseline data were collected from the decoded database of the Prevention Health ...
Dreifuss Stephanie E - - 2013
Obstructive sleep apnea (OSA) may occur in association with obesity-hypoventilation (Pickwickian) syndrome, a disorder of ventilatory control affecting individuals with morbid obesity. Through the pressor effects of chronic hypercapnia and hypoxemia, this syndrome may result in pulmonary hypertension, right heart failure, and massive peripheral edema. We present a case of ...
Stanchina Michael L - - 2013
The overlap syndrome, defined by concurrent existence of chronic obstructive pulmonary disease (COPD) and obstructive sleep apnea (OSA), is associated with poor outcomes. From a large outpatient cohort we aimed to define better the risk factors for increased mortality in the overlap syndrome and hypothesized that CPAP adherence would be ...
Kumor Marta - - 2013
Metabolic syndrome (MS), which is connected with enlarged cardiovascular risk, is common in patients with OSAS. The aim of the study was to estimate the prevalence of MS in patients with OSAS according to two definitions of MS (criteria from NCEP-ATP III from 2001 versus criteria from IDF 2005). Materials ...
Ramakrishnan Sivasubramanian S Department of Cardiology, All India Institute of Medical Sciences, New Delhi, - - 2013
The objective of the study was to find the prevalence of sleep-related disturbances in patients of Eisenmenger syndrome. Prospective observational study. Tertiary care referral centre in North India. The study included 25 patients with Eisenmenger syndrome (mean age 25.2±9.6 years, 18 men) and 12 patients with cyanotic congenital heart disease ...
Valentin Leonardo L Department of Radiology, Baylor College of Medicine, Houston, TX, 77030, - - 2013
We present a case of a 39 year old male patient with Acquired Immune Deficiency Syndrome (AIDS) who developed Mycobacterium tuberculosis related Immune Reconstitution Inflammatory Syndrome (IRIS) after initiation of Highly Active Antiretroviral Therapy (HAART) treatment. The inflammatory response resulted in mediastinal necrotic lymphadenopathy and subsequent perforation of the esophageal ...
Barzegar Mohammad M Professor of Pediatric Neurology, Pediatric Health Research Center, Tabriz University of Medical Sciences, Tabriz, - - 2013
Joubert syndrome is a very rare disorder characterized by respiratory irregularities, nystagmus, hypotonia, and global developmental delay with abnormalities of cerebellum. We present two cases of this syndrome with different phenotypes. The first case was an 8-month-old girl with hypotonia, apnea, and mild developmental delay as well as retinal degeneration ...
Fusetti M - - 2012
The purpose of this study was to evaluate the correlation between severity of obstructive sleep apnoea syndrome (OSAS), cardiovascular disease and metabolic syndrome. We recruited 1185 patients with OSAS who underwent a complete ENT examination, including nasolaryngeal fibre optic endoscopy with Müller's manoeuvre, overnight cardio-respiratory monitoring, Epworth Sleepiness Scale (ESS) ...
Mignot Emmanuel J M EJ Stanford Center for Sleep Sciences and Medicine, Stanford University Medical School, Palo Alto, CA 94304, USA. - - 2012
Narcolepsy and other syndromes associated with excessive daytime sleepiness can be challenging to treat. New classifications now distinguish narcolepsy/hypocretin deficiency (also called type 1 narcolepsy), a lifelong disorder with well-established diagnostic procedures and etiology, from other syndromes with hypersomnolence of unknown causes. Klein-Levin Syndrome, a periodic hypersomnia associated with cognitive ...
Lyons Marie - - 2012
AIM: To review the current knowledge on congenital and acquired developmental problems of the upper airway in newborns and infants. DATA SYNTHESIS: Causes of airway obstruction include problems with the nasal airway (choanal atresia), craniofacial syndromes (Apert syndrome, Crouzon syndrome), problems with facial/tongue anatomy (Pierre-Robin syndrome), the tongue (Down syndrome), ...
Proimos Efklidis - - 2012
Purpose of the Study: To examine the clinical value of subjective evaluations of obstructive sleep apnea syndrome (OSAS) in correlation with syndrome severity as diagnosed with polysomnography. Procedures: 210 patients with mild to severe OSAS were assessed. Objective evaluation included polysomnography. Subjective assessment included full ENT examination, neck circumference (NC) ...
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