Upper airway dimensions in patients with craniocervical junction malformations with and without sleep apnea. A pilot case-control study
Document title: Upper airway dimensions in patients with craniocervical junction malformations with and without sleep apnea. A pilot case-control study
Journal: Arquivos de neuro-psiquiatria
Database: PERIÓDICA
System number: 000383079
ISSN: 0004-282X
Authors: 1
2
1
3
2
1
Institutions: 1Instituto de Assistencia Medica ao Servidor Publico Estadual, Sao Paulo. Brasil
2Universidade Federal de Sao Paulo, Departamento de Psicobiologia, Sao Paulo. Brasil
3Hospital do Servidor Publico Estadual de Sao Paulo, Departamento de Neurocirurgia, Sao Paulo. Brasil
Year:
Season: Abr
Volumen: 73
Number: 4
Pages: 336-341
Country: Brasil
Language: Inglés
Document type: Estadística o encuesta
Approach: Analítico
English abstract Objective Patients with craniocervical junction malformations (CCJM) tend to suffer more frequently from sleep respiratory disturbances, which are more frequent and severe in patients with basilar invagination. Here we evaluate if patients with CCJM and sleep respiratory disorders (SRD) present smaller airway dimensions than patients without SRD. Method Patients with CCCM with and without sleep respiratory disturbances were evaluated clinically by Bindal's score, modified Mallampati classification, full-night polysomnography and upper airway cone beam tomography. Results Eleven patients had sleep respiratory disorders (SRD), and nine patients performed control group without SRD. CCJM patients with SRD were predominantly female, older, had higher BMI, were more likely to have Mallampati grades 3 and 4 and had statistically significant smaller anteroposterior diameter of the upper airway than patients without SRD. Conclusion Patients with CCJM and sleep respiratory disturbances have higher BMI, higher Mallampati score and smaller anterior posterior diameter of the upper airway
Portuguese abstract Objetivo: Pacientes com malformação da transição craniocervical (MTCC) tendem a apresentar mais frequentemente distúrbios respiratórios do sono (DRS), os quais são mais intensos em pacientes com invaginação basilar. O objetivo desse estudo é avaliar se pacientes com MTCC e DRS apresentam dimensões das vias aéreas reduzidas em comparação a pacientes sem DRS. Método: Pacientes com MTCC com e sem apneia do sono foram avaliados com a escala de Bindal, classificação de Mallampati modificada, polissonografia de noite inteira e tomografia da via aérea superior. Resultados Onze pacientes tinham DRS e nove não apresentaram esses distúrbios (grupo controle). Pacientes com MTCC e DRS foram principalmente mulheres, mais velhos, apresentaram maior IMC e maior gradação na escala de Mallampati, além de menor diâmetro anteroposterior de via aérea superior do que pacientes sem DRS. Conclusão Pacientes com MTCC e DRS têm maior IMC, maior pontuação na escala de Mallampati e menor diâmtero anteroposterior da via aérea superior
Disciplines: Medicina
Keyword: Diagnóstico,
Neumología,
Neurología,
Malformación de Chiari,
Apnea del sueño,
Polisomnografía,
Indice de masa corporal (IMC)
Keyword: Medicine,
Diagnosis,
Neurology,
Pneumology,
Chiari malformation,
Sleep apnea,
Polysomnography,
Body mass index (BMI)
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