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Maloney MA, Kun SS, Keens TG, Perez IA. Congenital central hypoventilation syndrome: diagnosis and management. Expert Rev Respir Med 2018; 12:283-292. [DOI: 10.1080/17476348.2018.1445970] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- Melissa A. Maloney
- Children’s Hospital Los Angeles, Division of Pediatric Pulmonology and Sleep Medicine, Los Angeles, USA
| | - Sheila S. Kun
- Children’s Hospital Los Angeles, Division of Pediatric Pulmonology and Sleep Medicine, Los Angeles, USA
| | - Thomas G. Keens
- Children’s Hospital Los Angeles, Division of Pediatric Pulmonology and Sleep Medicine, Los Angeles, USA
- Physiology and Biophysics, Keck School of Medicine of the University of Southern California, Los Angeles, USA
| | - Iris A. Perez
- Children’s Hospital Los Angeles, Division of Pediatric Pulmonology and Sleep Medicine, Los Angeles, USA
- Physiology and Biophysics, Keck School of Medicine of the University of Southern California, Los Angeles, USA
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Katsetos CD, Anderson CE, Guzman MA, Pascasio JM, de Chadarévian JP, Legido A. Brainstem tegmental necrosis and olivary hypoplasia: raising awareness of a rare neuropathologic correlate of congenital apnea. Semin Pediatr Neurol 2014; 21:177-83. [PMID: 25149959 DOI: 10.1016/j.spen.2014.05.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
This case study describes an instance of death in an early term female newborn with congenital apnea in the clinical setting of multiple congenital anomalies (retrognathia, posteriorly rotated ears, camptodactyly, and arthrogryposis) and prenatal history of polyhydramnios. Postmortem neuropathologic findings were significant for tegmental necrosis in the caudal pons and medulla characterized by a coalescence of microcalcifications accompanied by neuronal loss, axonal spheroids, gliosis, and a concomitant hypoplasia of the inferior olives. This report raises awareness of the rare lethal entity of brainstem tegmental necrosis and olivary hypoplasia and its nosological relationship to the Möbius syndrome in the context of differential diagnosis of congenital apnea owing to central respiratory dysfunction.
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Affiliation(s)
- Christos D Katsetos
- Department of Pediatrics, Drexel University College of Medicine, St. Christopher׳s Hospital for Children, Philadelphia, PA; Department of Pathology and Laboratory Medicine, Drexel University College of Medicine, St. Christopher׳s Hospital for Children, Philadelphia, PA; Department of Neurology, Drexel University College of Medicine, Philadelphia, PA.
| | - Carol E Anderson
- Department of Pediatrics, Drexel University College of Medicine, St. Christopher׳s Hospital for Children, Philadelphia, PA
| | - Miguel A Guzman
- Department of Pathology and Laboratory Medicine, Drexel University College of Medicine, St. Christopher׳s Hospital for Children, Philadelphia, PA
| | - Judy Mae Pascasio
- Department of Pediatrics, Drexel University College of Medicine, St. Christopher׳s Hospital for Children, Philadelphia, PA; Department of Pathology and Laboratory Medicine, Drexel University College of Medicine, St. Christopher׳s Hospital for Children, Philadelphia, PA
| | - Jean-Pierre de Chadarévian
- Department of Pediatrics, Drexel University College of Medicine, St. Christopher׳s Hospital for Children, Philadelphia, PA; Department of Pathology and Laboratory Medicine, Drexel University College of Medicine, St. Christopher׳s Hospital for Children, Philadelphia, PA
| | - Agustin Legido
- Department of Pediatrics, Drexel University College of Medicine, St. Christopher׳s Hospital for Children, Philadelphia, PA; Department of Neurology, Drexel University College of Medicine, Philadelphia, PA
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