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Effect of continuous positive airway pressure therapy on a large hemangioma complicated with obstructive sleep apnea syndrome: a case report.

Antoniadou M, Steiropoulos P, Serasli E, Tsara V - J Med Case Rep (2010)

Bottom Line: Nasal continuous positive airway pressure was implemented effectively, reducing daytime hypersomnolence and significantly improving sleep parameters.Application of continuous positive airway pressure can be an effective treatment for patients with obstructive sleep apnea syndrome complicated with vascular tumors.Periodic follow-up of these patients is necessary, as little is known about the long-term effects of continuous positive airway pressure therapy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Sleep Unit, 2nd Chest Department, General Hospital "G, Papanikolaou", Exohi 57010, Thessaloniki, Greece. steiropoulos@yahoo.com.

ABSTRACT

Introduction: Hemangiomas involving the upper airway can be an uncommon cause of obstructive sleep apnea syndrome.

Case presentation: A 26-year-old Caucasian man with a known history of a large hemangioma of his head and neck presented with sleep-disordered breathing to the sleep unit of our hospital. Severe obstructive sleep apnea syndrome was revealed on polysomnography. Nasal continuous positive airway pressure was implemented effectively, reducing daytime hypersomnolence and significantly improving sleep parameters. After three years of adherent use, the patient remains in a good condition and the hemangioma is stable.

Conclusion: Application of continuous positive airway pressure can be an effective treatment for patients with obstructive sleep apnea syndrome complicated with vascular tumors. Periodic follow-up of these patients is necessary, as little is known about the long-term effects of continuous positive airway pressure therapy.

No MeSH data available.


Related in: MedlinePlus

Vascular mass with two feeding arteries (external carotid and middle cerebral artery) as shown on a magnetic resonance angiogram.
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Figure 2: Vascular mass with two feeding arteries (external carotid and middle cerebral artery) as shown on a magnetic resonance angiogram.

Mentions: A physical examination revealed that his body mass index was about 23.3 kg/m2 and his neck circumference was 44 cm. His Epworth Sleepiness Scale (ESS) score was 17 and a otolaryngologic evaluation reported that the hemangioma involved the left half of his tongue, uvula, and soft palate and his left nasal concha, with a high Mallampati score (Class 4). In order to evaluate the extent of his lesion, magnetic resonance angiography was performed and a vascular mass that was fed from both the external carotid and middle cerebral arteries was found (Figure 2). The polysomnographic sleep study revealed that the patient had severe OSAS with an Apnea-Hypopnea Index (AHI) of 60 events/hour and a minimum oxygen saturation of 58% (Table 1).


Effect of continuous positive airway pressure therapy on a large hemangioma complicated with obstructive sleep apnea syndrome: a case report.

Antoniadou M, Steiropoulos P, Serasli E, Tsara V - J Med Case Rep (2010)

Vascular mass with two feeding arteries (external carotid and middle cerebral artery) as shown on a magnetic resonance angiogram.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2925851&req=5

Figure 2: Vascular mass with two feeding arteries (external carotid and middle cerebral artery) as shown on a magnetic resonance angiogram.
Mentions: A physical examination revealed that his body mass index was about 23.3 kg/m2 and his neck circumference was 44 cm. His Epworth Sleepiness Scale (ESS) score was 17 and a otolaryngologic evaluation reported that the hemangioma involved the left half of his tongue, uvula, and soft palate and his left nasal concha, with a high Mallampati score (Class 4). In order to evaluate the extent of his lesion, magnetic resonance angiography was performed and a vascular mass that was fed from both the external carotid and middle cerebral arteries was found (Figure 2). The polysomnographic sleep study revealed that the patient had severe OSAS with an Apnea-Hypopnea Index (AHI) of 60 events/hour and a minimum oxygen saturation of 58% (Table 1).

Bottom Line: Nasal continuous positive airway pressure was implemented effectively, reducing daytime hypersomnolence and significantly improving sleep parameters.Application of continuous positive airway pressure can be an effective treatment for patients with obstructive sleep apnea syndrome complicated with vascular tumors.Periodic follow-up of these patients is necessary, as little is known about the long-term effects of continuous positive airway pressure therapy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Sleep Unit, 2nd Chest Department, General Hospital "G, Papanikolaou", Exohi 57010, Thessaloniki, Greece. steiropoulos@yahoo.com.

ABSTRACT

Introduction: Hemangiomas involving the upper airway can be an uncommon cause of obstructive sleep apnea syndrome.

Case presentation: A 26-year-old Caucasian man with a known history of a large hemangioma of his head and neck presented with sleep-disordered breathing to the sleep unit of our hospital. Severe obstructive sleep apnea syndrome was revealed on polysomnography. Nasal continuous positive airway pressure was implemented effectively, reducing daytime hypersomnolence and significantly improving sleep parameters. After three years of adherent use, the patient remains in a good condition and the hemangioma is stable.

Conclusion: Application of continuous positive airway pressure can be an effective treatment for patients with obstructive sleep apnea syndrome complicated with vascular tumors. Periodic follow-up of these patients is necessary, as little is known about the long-term effects of continuous positive airway pressure therapy.

No MeSH data available.


Related in: MedlinePlus