Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1991 Aug;54(8):710–712. doi: 10.1136/jnnp.54.8.710

Central sleep apnoea in congenital muscular dystrophy.

M H Kryger 1, D G Steljes 1, W C Yee 1, E Mate 1, S A Smith 1, M Mahowald 1
PMCID: PMC1014476  PMID: 1940943

Abstract

Sleep-disordered breathing may occur in a wide variety of neuromuscular syndromes, and may present with diverse, often isolated, symptoms or findings such as excessive daytime sleepiness, pulmonary hypertension, congestive heart failure, morning headaches, or hypoxia-induced nocturnal seizures. The authors report two sisters with congenital muscular dystrophy in whom central sleep apnoea resulted in the isolated symptom of nocturnal seizures in one, and morning headaches in the other. Review of the literature reveals that sleep-disordered breathing may be common in neuromuscular disorders, and may often be present when clinical weakness is mild, and insufficient to result in diurnal respiratory dysfunction.

Full text

PDF
710

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Batten F. E. Myopathy. Simple Atrophic Type. Proc R Soc Med. 1915;8(NEUROL):69–69. doi: 10.1177/003591571500800814. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bellamy D., Davis J. M., Hickey B. P., Benatar S. R., Clark T. J. A case of primary alveolar hypoventilation associated with mild proximal myopathy. Am Rev Respir Dis. 1975 Dec;112(6):867–873. doi: 10.1164/arrd.1975.112.6.867. [DOI] [PubMed] [Google Scholar]
  3. Bégin R., Bureau M. A., Lupien L., Lemieux B. Control and modulation of respiration in Steinert's myotonic dystrophy. Am Rev Respir Dis. 1980 Feb;121(2):281–289. doi: 10.1164/arrd.1980.121.2.281. [DOI] [PubMed] [Google Scholar]
  4. Bégin R., Bureau M. A., Lupien L., Lemieux B. Control of breathing in Duchenne's muscular dystrophy. Am J Med. 1980 Aug;69(2):227–234. doi: 10.1016/0002-9343(80)90382-4. [DOI] [PubMed] [Google Scholar]
  5. Chan C. K., Mohsenin V., Loke J., Virgulto J., Sipski M. L., Ferranti R. Diaphragmatic dysfunction in siblings with hereditary motor and sensory neuropathy (Charcot-Marie-Tooth disease). Chest. 1987 Apr;91(4):567–570. doi: 10.1378/chest.91.4.567. [DOI] [PubMed] [Google Scholar]
  6. Coccagna G., Mantovani M., Parchi C., Mironi F., Lugaresi E. Alveolar hypoventilation and hyperosmnia in myotonic dystrophy. J Neurol Neurosurg Psychiatry. 1975 Oct;38(10):977–984. doi: 10.1136/jnnp.38.10.977. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Egger J., Kendall B. E., Erdohazi M., Lake B. D., Wilson J., Brett E. M. Involvement of the central nervous system in congenital muscular dystrophies. Dev Med Child Neurol. 1983 Feb;25(1):32–42. doi: 10.1111/j.1469-8749.1983.tb13719.x. [DOI] [PubMed] [Google Scholar]
  8. Ellis E. R., Bye P. T., Bruderer J. W., Sullivan C. E. Treatment of respiratory failure during sleep in patients with neuromuscular disease. Positive-pressure ventilation through a nose mask. Am Rev Respir Dis. 1987 Jan;135(1):148–152. doi: 10.1164/arrd.1987.135.1.148. [DOI] [PubMed] [Google Scholar]
  9. Engel A. G. Acid maltase deficiency in adults: studies in four cases of a syndrome which may mimic muscular dystrophy or other myopathies. Brain. 1970;93(3):599–616. doi: 10.1093/brain/93.3.599. [DOI] [PubMed] [Google Scholar]
  10. GASTAUT H., FISCHER-WILLIAMS M. Electro-encephalographic study of syncope; its differentiation from epilepsy. Lancet. 1957 Nov 23;273(7004):1018–1025. doi: 10.1016/s0140-6736(57)92147-5. [DOI] [PubMed] [Google Scholar]
  11. George C. F., West P., Kryger M. H. Oxygenation and breathing pattern during phasic and tonic REM in patients with chronic obstructive pulmonary disease. Sleep. 1987 Jun;10(3):234–243. doi: 10.1093/sleep/10.3.234. [DOI] [PubMed] [Google Scholar]
  12. KILBURN K. H., EAGAN J. T., SIEKER H. O., HEYMAN A. Cardiopulmonary insufficiency i myotonic and progressive muscular dystrophy. N Engl J Med. 1959 Nov 26;261:1089–1096. doi: 10.1056/NEJM195911262612201. [DOI] [PubMed] [Google Scholar]
  13. Kerby G. R., Mayer L. S., Pingleton S. K. Nocturnal positive pressure ventilation via nasal mask. Am Rev Respir Dis. 1987 Mar;135(3):738–740. doi: 10.1164/arrd.1987.135.3.738. [DOI] [PubMed] [Google Scholar]
  14. Liddon S. C. Sleep paralysis and hypnagogic hallucinations. Their relationship to the nightmare. Arch Gen Psychiatry. 1967 Jul;17(1):88–96. doi: 10.1001/archpsyc.1967.01730250090013. [DOI] [PubMed] [Google Scholar]
  15. Maayan C., Springer C., Armon Y., Bar-Yishay E., Shapira Y., Godfrey S. Nemaline myopathy as a cause of sleep hypoventilation. Pediatrics. 1986 Mar;77(3):390–395. [PubMed] [Google Scholar]
  16. Mahowald M. W., Schenck C. H. Status dissociatus--a perspective on states of being. Sleep. 1991 Feb;14(1):69–79. doi: 10.1093/sleep/14.1.69. [DOI] [PubMed] [Google Scholar]
  17. McDonald C. A clinical study of hypnagogic hallucinations. Br J Psychiatry. 1971 May;118(546):543–547. doi: 10.1192/bjp.118.546.543. [DOI] [PubMed] [Google Scholar]
  18. McNamara J. O. Human hypoxia and seizures: effects and interactions. Adv Neurol. 1979;26:137–143. [PubMed] [Google Scholar]
  19. Riley D. J., Santiago T. V., Daniele R. P., Schall B., Edelman N. H. Blunted respiratory drive in congenital myopathy. Am J Med. 1977 Sep;63(3):459–466. doi: 10.1016/0002-9343(77)90286-8. [DOI] [PubMed] [Google Scholar]
  20. Serisier D. E., Mastaglia F. L., Gibson G. J. Respiratory muscle function and ventilatory control. I in patients with motor neurone disease. II in patients with myotonic dystrophy. Q J Med. 1982 Spring;51(202):205–226. [PubMed] [Google Scholar]
  21. Smith P. E., Calverley P. M., Edwards R. H. Hypoxemia during sleep in Duchenne muscular dystrophy. Am Rev Respir Dis. 1988 Apr;137(4):884–888. doi: 10.1164/ajrccm/137.4.884. [DOI] [PubMed] [Google Scholar]
  22. Weng T. R., Schultz G. E., Chang C. H., Nigro M. A. Pulmonary function and ventilatory response to chemical stimuli in familial myopathy. Chest. 1985 Oct;88(4):488–495. doi: 10.1378/chest.88.4.488. [DOI] [PubMed] [Google Scholar]
  23. Wilson D. O., Sanders M. H., Dauber J. H. Abnormal ventilatory chemosensitivity and congenital myopathy. Arch Intern Med. 1987 Oct;147(10):1773–1777. [PubMed] [Google Scholar]
  24. Zellweger H., Afifi A., McCormick W. F., Mergner W. Benign congenital muscular dystrophy: a special form of congenital hypotonia. Clin Pediatr (Phila) 1967 Nov;6(11):655–663. doi: 10.1177/000992286700601113. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES