| Brainstem Tethering with Ondine's Curse. | |
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MedLine Citation:
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PMID: 22251510 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Brainstem tethering is a rare disease. CASE DESCRIPTION: We report and discuss a 20-year-old patient who experienced paroxysmal apnea (a symptom of Ondine's curse) during sleeping, causing him to wake up and control his breathing consciously. A magnetic resonance imaging study revealed that his medulla oblongata was twisted and displaced posteriorly by an abnormal tissue cord. An operation was performed to detether the tethered brainstem, with a satisfying result reached. CONCLUSION: Brainstem tethering is a rare but late complication of occipital encephalocele with insufficient operation. The symptoms of this disease are related to the dysfunction of the medulla oblongata and their adjunctive nerves. Magnetic resonance imaging can be used to identify the abnormal region and distinguish it from other medulla oblongata diseases. Surgery in the early stage of the brainstem tethering is helpful, but ventriculoperitoneal shunting is unnecessary or cannot be performed before detethering, although these patients usually have ventricular dilation. |
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Authors:
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Zhan Liu; Yanyang He; Song Li; Lihua Wu; Qiangfang Jiao |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: World neurosurgery Volume: 76 ISSN: 1878-8750 ISO Abbreviation: World Neurosurg Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2012-01-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101528275 Medline TA: World Neurosurg Country: United States |
Other Details:
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Languages: eng Pagination: 592.e11-4 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Neurosurgery, Zhengzhou Hospital, Henan province, People's Republic of China. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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