Síndrome de apneas obstructivas durante el sueño (SAOS) secundario a un linfoma faríngeo. Mejoría con tratamiento con presión continua de la vía aérea superior (CPAP)
Obstructive sleep apnea syndromes (OSAS) secondary to pharyngeal lymphoma
G. Espinosa, A. Morelló
Hospital Clínic i Provincial. Facultad de Medicina. Universidad de Barcelona
* Servicios de Neumología y Alergia Respiratoria, Hospital Clínic i Provincial. Facultad de Medicina. Universidad de Barcelona
** Servicios de Otorrinolaringología, Hospital Clínic i Provincial. Facultad de Medicina. Universidad de Barcelona
*** Servicios de Radiodiagnóstico. Hospital Clínic i Provincial. Facultad de Medicina. Universidad de Barcelona
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Villarroel, 170. 08036 Barcelona." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Obstructive sleep apnea syndromes (OSAS) secondary to pharyngeal lymphoma" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1996-02-13" "fechaAceptado" => "1996-04-23" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546189" "palabras" => array:3 [ 0 => "Síndrome de apneas obstructivas del sueño (SAOS)" 1 => "Linfoma faríngeo" 2 => "Presión positiva continua de la vía aérea (CPAP)" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546188" "palabras" => array:3 [ 0 => "Obstructive sleep apnea syndrome (OSAS)" 1 => "Pharyngeal lymphoma" 2 => "Continuous positive airway pressure (CPAP)" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La apnea obstructiva del sueño (SAOS) es un síndrome caracterizado por la presencia de múltiples episodios de obstrucción de las vías aéreas superiores (VAS) durante el sueño. Durante el día, los pacientes aquejan hipersomnia, embotamiento y falta de concentración que se acompañan, característicamente, de ronquidos nocturnos.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se presenta el caso de un paciente afectado de linfoma de Hodgkin sin remisión completa y recidiva faríngea que provocaba un SAOS. Clínicamente, presentaba somnolencia diurna muy acusada, acompañada de trastornos de conducta. Entre las exploraciones complementarias destacaban unas asas de flujo-volumen, indicativas de inestabilidad de la VAS. Una TAC cervical mostró una masa prevertebral linfomatosa faríngea, que producía una reducción acusada del área de la VAS. Ésta aumentó considerablemente de tamaño tras la aplicación de presión continua positiva (CPAP) en la VAS, lo que normalizó el sueño y provocó una mejoría importante de la clínica del paciente. Posteriormente y tras la quimioterapia, desapareció el SAOS y el paciente pudo abandonar el tratamiento con CPAP.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Obstructive sleep apnea syndrome (OSAS) is characterized by multiple episodes of upper airway (UA) obstruction during sleep. Patients experience daytime hypersomnia, sluggishness and inability to concentrate; snoring at night is common.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We report the case of a man with Hodgkin's lymphoma without full remission and with pharyngeal recidivism leading to OSAS. He experienced marked diurnal hypersomnia accompanied by behavior disorders. Examination revealed flow-volume OSAS, suggesting UA instability. Cervical computed tomography showed a prevertebral lymphomatous mass in the pharynx causing significant UA compression. UA size increased considerably after use of continuous positive airway pressure (CPAP), which normalized sleep and produced significant relief of symptoms. Later, after chemotherapy, OSAS resolved and the patient was able to abandon CPAP treatment.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sleep apnea syndromes" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C. Guilleminault" 1 => "W.C. Dement" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Nueva York: Alan Liss Inc." "fecha" => "1978" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." 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| 2024 August | 80 | 44 | 124 |
| 2024 July | 61 | 34 | 95 |
| 2024 June | 58 | 22 | 80 |
| 2024 May | 57 | 28 | 85 |
| 2024 April | 44 | 36 | 80 |
| 2024 March | 34 | 33 | 67 |
| 2024 February | 36 | 32 | 68 |
| 2024 January | 0 | 8 | 8 |
| 2023 December | 0 | 5 | 5 |
| 2023 November | 0 | 6 | 6 |
| 2023 October | 0 | 3 | 3 |
| 2023 September | 0 | 2 | 2 |
| 2023 August | 0 | 4 | 4 |
| 2023 July | 0 | 26 | 26 |
| 2023 June | 0 | 10 | 10 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 8 | 4 | 12 |
| 2023 February | 37 | 26 | 63 |
| 2023 January | 37 | 31 | 68 |
| 2022 December | 40 | 39 | 79 |
| 2022 November | 53 | 29 | 82 |
| 2022 October | 56 | 32 | 88 |
| 2022 September | 38 | 26 | 64 |
| 2022 August | 39 | 41 | 80 |
| 2022 July | 51 | 42 | 93 |
| 2022 June | 106 | 34 | 140 |
| 2022 May | 82 | 27 | 109 |
| 2022 April | 85 | 38 | 123 |
| 2022 March | 69 | 38 | 107 |
| 2022 February | 77 | 33 | 110 |
| 2022 January | 129 | 53 | 182 |
| 2021 December | 86 | 45 | 131 |
| 2021 November | 75 | 37 | 112 |
| 2021 October | 99 | 58 | 157 |
| 2021 September | 78 | 53 | 131 |
| 2021 August | 95 | 19 | 114 |
| 2021 July | 98 | 38 | 136 |
| 2021 June | 90 | 30 | 120 |
| 2021 May | 119 | 35 | 154 |
| 2021 April | 216 | 106 | 322 |
| 2021 March | 152 | 28 | 180 |
| 2021 February | 124 | 30 | 154 |
| 2021 January | 109 | 23 | 132 |
| 2020 December | 162 | 29 | 191 |
| 2020 November | 193 | 25 | 218 |
| 2020 October | 114 | 23 | 137 |
| 2020 September | 190 | 24 | 214 |
| 2020 August | 61 | 16 | 77 |
| 2020 July | 68 | 18 | 86 |
| 2020 June | 79 | 15 | 94 |
| 2020 May | 137 | 17 | 154 |
| 2020 April | 175 | 17 | 192 |
| 2020 March | 166 | 19 | 185 |
| 2020 February | 181 | 29 | 210 |
| 2020 January | 184 | 41 | 225 |
| 2019 December | 136 | 34 | 170 |
| 2019 November | 132 | 18 | 150 |
| 2019 October | 198 | 26 | 224 |
| 2019 September | 218 | 21 | 239 |
| 2019 August | 56 | 17 | 73 |
| 2019 July | 97 | 26 | 123 |
| 2019 June | 95 | 23 | 118 |
| 2019 May | 253 | 43 | 296 |
| 2019 April | 147 | 63 | 210 |
| 2019 March | 39 | 23 | 62 |
| 2019 February | 32 | 12 | 44 |
| 2019 January | 25 | 9 | 34 |
| 2018 December | 14 | 18 | 32 |
| 2018 November | 38 | 33 | 71 |
| 2018 October | 41 | 17 | 58 |
| 2018 September | 19 | 7 | 26 |
| 2018 May | 5 | 2 | 7 |
| 2018 April | 8 | 9 | 17 |
| 2018 March | 6 | 8 | 14 |
| 2018 February | 9 | 12 | 21 |
| 2018 January | 5 | 6 | 11 |
| 2017 December | 5 | 13 | 18 |
| 2017 November | 4 | 14 | 18 |
| 2017 October | 18 | 9 | 27 |
| 2017 September | 13 | 19 | 32 |
| 2017 August | 9 | 21 | 30 |
| 2017 July | 4 | 17 | 21 |
| 2017 June | 12 | 35 | 47 |
| 2017 May | 11 | 17 | 28 |
| 2017 April | 8 | 18 | 26 |
| 2017 March | 8 | 43 | 51 |
| 2017 February | 4 | 19 | 23 |
| 2017 January | 4 | 11 | 15 |
| 2016 December | 12 | 11 | 23 |
| 2016 November | 27 | 15 | 42 |
| 2016 October | 17 | 16 | 33 |
| 2016 September | 26 | 18 | 44 |
| 2016 August | 21 | 15 | 36 |
| 2016 July | 18 | 8 | 26 |
| 2016 June | 20 | 10 | 30 |
| 2016 May | 30 | 22 | 52 |
| 2016 April | 12 | 0 | 12 |
| 2016 March | 5 | 0 | 5 |
| 2016 February | 11 | 5 | 16 |
| 2016 January | 23 | 16 | 39 |
| 2015 December | 29 | 15 | 44 |
| 2015 November | 25 | 11 | 36 |
| 2015 October | 6 | 2 | 8 |
| 2015 September | 1 | 0 | 1 |
| 2015 August | 1 | 0 | 1 |
| 2015 June | 1 | 0 | 1 |
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