Eklampsie jako příčina sekundární neobstrukční centrální spánkové hypoventilace

English version

Authors: P. Štourač ¹; T. Hradilová ¹; E. Straževská ¹; P. Turčáni ²; A. Štouračová ³; Petr Janků ⁴; J. Skřičková ²; R. Gál ¹
Authors‘ workplace: Department of Anaesthesiology and Intensive Care Medicine, University Hospital Brno Medical Faculty of Masaryk University, Brno, head of the department prof. MUDr. R. Gál, Ph. D. ¹; Department of Pulmonary Diseases and Tuberculosis, University Hospital Brno Medical Faculty of Masaryk University, Brno, head of the department prof. MUDr. J. Skřičková, CSc. ²; Department of Radiology, University Hospital Brno, Medical Faculty of Masaryk University, Brno head of the department prof. MUDr. V. Válek, CSc., MBA ³; Department of Obstetrics and Gynecology, University Hospital Brno, Medical Faculty of Masaryk University, Brno, head of the department prof. MUDr. P. Ventruba, DrSc., MBA ⁴
Published in: Ceska Gynekol 2015; 80(1): 16-19

Overview

Centrální alveolární hypoventilace charakteru Ondininy kletby je onemocnění spojené s chybějící či zhoršenou ventilační odpovědí na hyperkapniia/či hypoxii se současným poklesem saturace až k 50 %. Sekundární formy mohou často vzniknout v rámci inzultu postihujícího mozkový kmen. V prezentované kazuistice předkládáme případ 24leté provorodičky ve 41. týdnu těhotenství s nekomplikovaným průběhem, u které vznikla po eklamptickém záchvatu sekundární neobstrukční spánková hypoventilace.

Prezentované sdělení přináší podporu pro použití domácího BiPAP (Biphasic Positive Airway Pressure) u pacientů se sekundární Ondininou kletbou.

Klíčová slova:
eklampsie, sekundární Ondinina kletba, BiPAP, centrální neobstrukční spánková hypoventilace

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