Skip to main content
Log in

Late-onset, insidious course and invasive treatment of congenital central hypoventilation syndrome in a case with the Phox2B mutation: case report

  • Case Report
  • Published:
Sleep and Breathing Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Abbreviations

PCR:

Polymerase Chain Reaction

CCHS:

Congenital Central Hypoventilation Syndrome

CO2 :

Carbon Dioxide

DNA:

Deoxyribonucleic Acid

MRI:

Magnetic Resonance Imaging

O2 :

Oxygen

PAP:

Pulmonary Artery Pressure

PEEP:

Positive End Expiratory Pressure

VPAP:

Variable Positive Airway Pressure

References

  1. American Academy of Sleep Medicine (2005) International classification of sleep disorders, 2nd edition: diagnostic and coding manual (ICSD-2). American Academy of Sleep Medicine, Westchester

    Google Scholar 

  2. Amiel J, Laudier B, Attie-Bitach T, Trang H, de Pontual L, Gener B, Trochet D, Etchevers H, Ray P, Simonneau M, Vekemans M, Munnich A, Gaultier C, Lyonnet S (2003) Polyalanine expansion and frame shift mutations of the paired-like homeobox gene Phox2B in congenital central hypoventilation syndrome. Nat Genet 33:459–461

    Article  PubMed  CAS  Google Scholar 

  3. Weese-Mayer DE, Berry-Kravis EM, Zhou L, Maher BS, Silvestri JM, Curran ME, Marazita ML (2003) Idiopathic congenital central hypoventilation syndrome: analysis of genes pertinent to early autonomic nervous system embryologic development and identification of mutations in Phox2B. Am J Med Genet A 123:267–278

    Article  Google Scholar 

  4. Sasaki A, Kanai M, Kijima K, Akaba K, Hashimoto M, Hasegawa H, Otaki S, Koizumi T, Kusuda S, Ogawa Y, Tuchiya K, Yamamoto W, Nakamura T, Hayasaka K (2003) Molecular analysis of congenital central hypoventilation syndrome. Hum Genet 114:22–26

    Article  PubMed  CAS  Google Scholar 

  5. Trochet D, O'Brien LM, Gozal D, Trang H, Nordenskjöld A, Laudier B, Svensson PJ, Uhrig S, Cole T, Niemann S, Munnich A, Gaultier C, Lyonnet S, Amiel J (2005) PHOX2B genotype allows for prediction of tumor risk in congenital central hypoventilation syndrome. Am J Hum Genet 76:421–426

    Article  PubMed  CAS  Google Scholar 

  6. Berry-Kravis EM, Zhou L, Rand CM, Weese-Mayer DE (2006) Congenital central hypoventilation syndrome: PHOX2B mutations and phenotype. Am J Respir Crit Care Med 174:1139–1144

    Article  PubMed  CAS  Google Scholar 

  7. Gallego J, Dauger S (2008) PHOX2B mutations and ventilatory control. Respir Physiol Neurobiol 164:49–54

    Article  PubMed  CAS  Google Scholar 

  8. McNicholas WT, Carter JL, Rutherford R, Zamel N, Phillipson EA (1982) Beneficial effect of oxygen in primary alveolar hypoventilation with central sleep apnea. Am Rev Respir Dis 125:773–775

    PubMed  CAS  Google Scholar 

  9. Guilleminault C, Stoohs R, Schneider H, Podszus T, Peter JH, von Wichert P (1989) Central alveolar hypoventilation and sleep. Treatment by intermittent positive-pressure ventilation through nasal mask in an adult. Chest 96:1210–1212

    Article  PubMed  CAS  Google Scholar 

  10. Schlegel J, Kienast K, Fischer B, Ferlinz R (1995) Clinical late manifestation of Ondine’s curse with pronounced primary, especially sleep related, alveolar hypoventilation. Pneumologie 49:55–57

    Google Scholar 

  11. Bullemer F, Heindl S, Karg O (1999) “Ondine’s curse” in adults. Pneumologie 53:S91–S92

    PubMed  Google Scholar 

  12. Windisch W, Hennings E, Storre JH, Matthys H, Sorichter S (2004) Long-term survival of a patient with congenital central hypoventilation syndrome despite the lack of continuous ventilatory support. Respiration 71:195–198

    Article  PubMed  Google Scholar 

  13. Antic NA, Malow BA, Lange N, McEvoy RD, Olson AL, Turkington P, Windisch W, Samuels M, Stevens CA, Berry-Kravis EM, Weese-Mayer DE (2006) Phox2B mutation-confirmed congenital central hypoventilation syndrome: presentation in adulthood. Am J Respir Crit Care Med 174:923–927

    Article  PubMed  CAS  Google Scholar 

  14. Doherty LS, Kiely JL, Deegan PC, Nolan G, McCabe S, Green AJ, Ennis S, McNicholas WT (2007) Late-onset central hypoventilation syndrome: a family genetic study. Eur Respir J 29:312–316

    Article  PubMed  CAS  Google Scholar 

  15. Trang H, Dehan M, Beaufils F, Zaccaria I, Amiel J, Gaultier C (2005) The French Congenital Central Hypoventilation Syndrome Registry: general data, phenotype, and genotype. Chest 127:72–79

    Article  PubMed  Google Scholar 

  16. Read DJC (1967) A clinical method for assessing the ventilatory response to carbon dioxide. Aust Ann Med 16:20–32

    PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This work was supported by grants from Associação Fundo de Incentivo à Pesquisa (AFIP), FAPESP (CEPID no. 98/14303-3 to ST), and CPNq.

Conflict of interest

The authors declare that they have no competing interests.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lia Rita Azeredo Bittencourt.

Additional information

Consent

Written informed consent was obtained from the patient for publication of this case report. A copy of the written consent is available for review by the editor-in-chief of this journal.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bittencourt, L.R.A., Pedrazzoli, M., Yagihara, F. et al. Late-onset, insidious course and invasive treatment of congenital central hypoventilation syndrome in a case with the Phox2B mutation: case report. Sleep Breath 16, 951–955 (2012). https://doi.org/10.1007/s11325-011-0614-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11325-011-0614-x

Keywords

Navigation