Sleep Attacks--Apparent Relationship to Atlantoaxial Dislocation
1975; American Medical Association; Volume: 32; Issue: 1 Linguagem: Inglês
10.1001/archneur.1975.00490430079016
ISSN1538-3687
Autores Tópico(s)Psychosomatic Disorders and Their Treatments
ResumoSleep attacks, while being characteristic of narcolepsy, have been reported in several metabolic and central nervous system disorders--most of which are refractory to treatment. We have recently treated a 47-year-old man with disabling sleep attacks who was found to have atlantoaxial dislocation. Despite narrowing of the sagittal cervical canal diameter to 12 mm (behind the dens), symptoms of spinal cord compression were mild and intermittent, while signs were absent. Posterior fusion of the C-1 and C-2 vertebrae resulted in relief of symptoms. We suggest that this sleep disorder was a function of impaired efferent control of respiration.
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