Adult-onset congenital central hypoventilation syndrome due to PHOX2B mutation.

Abstract:

:Central hypoventilation in adult patients is a rare life-threatening condition characterised by the loss of automatic breathing, more pronounced during sleep. In most cases, it is secondary to a brainstem lesion or to a primary pulmonary, cardiac or neuromuscular disease. More rarely, it can be a manifestation of congenital central hypoventilation syndrome (CCHS). We here describe a 25-year-old woman with severe central hypoventilation triggered by analgesics. Genetic analysis confirmed the diagnosis of adult-onset CCHS caused by a heterozygous de novo poly-alanine repeat expansion of the PHOX2B gene. She was treated with nocturnal non-invasive ventilation. We reviewed the literature and found 21 genetically confirmed adult-onset CCHS cases. Because of the risk of deleterious respiratory complications, adult-onset CCHS is an important differential diagnosis in patients with central hypoventilation.

journal_name

Acta Neurol Belg

journal_title

Acta neurologica Belgica

authors

Meylemans A,Depuydt P,De Baere E,Hertegonne K,Derom E,Dermaut B,Hemelsoet D

doi

10.1007/s13760-020-01363-w

subject

Has Abstract

pub_date

2020-04-25 00:00:00

eissn

0300-9009

issn

2240-2993

pii

10.1007/s13760-020-01363-w

pub_type

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