Cerebral hypoventilation syndrome

Changed by Matt Adams, 29 Nov 2020

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Cerebral hypoventilation syndrome refers to a congenital condition characterised by hypoventilation during sleep with no other abnormalities of the cardiorespiratory system. There is a decrease in the depth of breathing.

It is also known as central sleep apnoeacongenital central hypoventilation syndrome or Ondine’s curse.

Epidemiology

This condition has an association with Hirschsprung disease (especially total colonic ganglionosisaganglionosis) with equal incidence in both sexes.

Approximately 50% of cerebral hypoventilation syndrome patients are known to have Hirschsprung disease and ~20% those patients will also have neuroblastoma or ganglioneuroma, usually multiple with associated abnormalities of the eye and autonomic nervous system 1.The aganglionosis is severe and is seen to extend into the small bowel.

Other associated features:

Treatment and prognosis

The respiratory symptom is detected on the first day of birth with the patient quickly given ventilatory support while the Hirschsprung disease is confirmed through barium studies and rectal biopsy.

History and etymology

Ondine’s curse, named after a figure from Germanic mythology 4,6

  • -<p><strong>Cerebral hypoventilation syndrome </strong>refers to a congenital condition characterised by hypoventilation during sleep with no other abnormalities of the cardiorespiratory system. There is a decrease in the depth of breathing.</p><p>It is also known as <strong>central sleep apnoea</strong>, <strong>congenital central hypoventilation syndrome </strong>or <strong>Ondine’s curse</strong>.</p><h4>Epidemiology</h4><p>This condition has an association with <a href="/articles/hirschsprung-disease">Hirschsprung disease</a> (especially total colonic ganglionosis) with equal incidence in both sexes.</p><p>Approximately 50% of cerebral hypoventilation syndrome patients are known to have Hirschsprung disease and ~20% those patients will also have <a href="/articles/neuroblastoma">neuroblastoma</a> or <a href="/articles/ganglioneuroma">ganglioneuroma</a>, usually multiple with associated abnormalities of the <a href="/articles/ocular-globe-1">eye</a> and <a href="/articles/autonomic-nervous-system">autonomic nervous system</a> <sup>1</sup>.The aganglionosis is severe and is seen to extend into the <a href="/articles/small-bowel">small bowel</a>.</p><p>Other associated features:</p><ul>
  • +<p><strong>Cerebral hypoventilation syndrome </strong>refers to a congenital condition characterised by hypoventilation during sleep with no other abnormalities of the cardiorespiratory system. There is a decrease in the depth of breathing.</p><p>It is also known as <strong>central sleep apnoea</strong>, <strong>congenital central hypoventilation syndrome </strong>or <strong>Ondine’s curse</strong>.</p><h4>Epidemiology</h4><p>This condition has an association with <a href="/articles/hirschsprung-disease">Hirschsprung disease</a> (especially total colonic aganglionosis) with equal incidence in both sexes.</p><p>Approximately 50% of cerebral hypoventilation syndrome patients are known to have Hirschsprung disease and ~20% those patients will also have <a href="/articles/neuroblastoma">neuroblastoma</a> or <a href="/articles/ganglioneuroma">ganglioneuroma</a>, usually multiple with associated abnormalities of the <a href="/articles/ocular-globe-1">eye</a> and <a href="/articles/autonomic-nervous-system">autonomic nervous system</a> <sup>1</sup>.The aganglionosis is severe and is seen to extend into the <a href="/articles/small-bowel">small bowel</a>.</p><p>Other associated features:</p><ul>
  • -<li><a title="Sensorineural hearing loss" href="/articles/sensorineural-hearing-loss">sensorineural hearing defect</a></li>
  • +<li><a href="/articles/sensorineural-hearing-loss">sensorineural hearing defect</a></li>

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