Dural Arteriovenous Fistula, Medullary Edema, and Ondines Curse: A Case Report (P3.195)

Conclusions: New onset respiratory failure due to dysfunction in the CNS, called acquired central alveolar hypoventilation, has been seen in several common conditions that may affect the medulla, including demyelinating lesions and stroke. We report the first case of acquired central alveolar hypoventilation due to dAVF, where apnea during sleep (was the patient’s only residual neurologic deficit after treatment, the so-called Ondine’s curse. Clinicians evaluating hypercapnic respiratory failure should consider brainstem pathology that may impair central respiratory function and consider a dedicated angiography to identify a culprit vascular lesion, as brainstem edema (T2 hyperintensity) is nonspecific.Disclosure: Dr. Culler has nothing to disclose. Dr. Afshari has nothing to disclose. Dr. Maas has nothing to disclose.
Source: Neurology - Category: Neurology Authors: Tags: Neurocritical Care: Clinical Science Source Type: research