[Medulla oblongata tumor with sleep-disordered breathing as the first symptom in children: a case report]

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Jun 7;58(6):602-604. doi: 10.3760/cma.j.cn115330-20221121-00697.
[Article in Chinese]

Abstract

患儿男,8岁,因“睡眠打鼾憋气5年,运动后晕厥1个月”入院,1年前曾因打鼾诊断为腺样体扁桃体肥大,行腺样体及双侧扁桃体切除术。入院后完善多导睡眠监测检查,符合重度阻塞性睡眠呼吸暂停及重度中枢性睡眠呼吸暂停、夜间低氧血症的诊断。头颈部磁共振成像,显示延髓占位,诊断为延髓肿瘤。给予无创正压通气治疗,患儿夜间症状缓解,因家长拒绝外科手术,选择继续家庭无创正压通气治疗。随访1年,患儿耐受良好,夜间睡眠打鼾缓解,未再晕厥发作。.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Humans
  • Medulla Oblongata / pathology
  • Neoplasms* / complications
  • Sleep Apnea Syndromes* / complications