Sleep-related hypoventilation: Difference between revisions
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Sergekorjian (talk | contribs) /* DSM-V Diagnostic Criteria for Sleep Related Hypoventilation{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425... |
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==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
===DSM-V Diagnostic Criteria for Sleep | ===DSM-V Diagnostic Criteria for Sleep-related Hypoventilation<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | ||
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* A. [[Polysomnograpy]] demonstrates episodes of decreased respiration associated with elevated CO2 levels. | * A. [[Polysomnograpy]] demonstrates episodes of decreased respiration associated with elevated CO2 levels. | ||
Revision as of 21:06, 13 November 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]
Overview
Sleep-related hypoventilation is characterized by decreased respiration episodes, correlated with high CO2 levels and low levels of hemoglobin oxygen saturation. The cause for this condition can be idiopathic, congenital or associated with another medical condition. Moreover, the severity is classified according to the levels of hypoxemia and hypercarbia.[1]
Differential Diagnosis
- Lung diseases
- Skeletal malformations
- Neuromuscular disorders
- Sleep-related hypoxemia
- Obstructive sleep apnea hypopnea
- Central sleep apnea[1]
Risk Factors
- Central nervous system depressants intake (e.g. benzodiazepines, opioid, alcohol)
- Hypothiroidism
- Neuromuscular or chest wall disorder
- Pulmonary disorder[1]
Natural History, Complications and Prognosis
Prognosis
Poor prognostic factors include:
- Central nervous system depressants intake (e.g. benzodiazepines, opioid, alcohol)
- Hypothiroidism
- Neuromuscular or chest wall disorder
- Amyotrophic lateral sclerosis
- Spinal cord injury
- Diaphragmatic paralysis
- Myasthenia gravis
- Lambert-Eaton syndrome
- Toxic or metabolic myopathies
- Postpolio syndrome
- Charcot-Marie-Tooth syndrome[1]
Diagnostic Criteria
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(Note: In the absence of objective measurement of CO2, persistent low levels of hemoglobin oxygen saturation unassociated with apneic/hypopneic events may indicate hypoventilation.)
Specify whether:
Specify current severity:
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