Estudio de un caso de hipoventilacion alveolar por micrognatia. Revision de la literatura
Study of a case of alveolar hypoventilation due to micrognathia. Review of literature
J. Morera Prat*, R. Turell Sardañas**, B. Rodríguez Sanchón***, M.aJ. Marcos Sánchez****, J. Soler Soler*****
* Médico Adjunto del Departamento de Medicina Interna. de la Residencia Francisco Franco de Barcelona
** Médico Adjunto del Servicio de Electroencefalografía. de la Residencia Francisco Franco de Barcelona
*** Médico Residente del Departamento de Medicina Interna. de la Residencia Francisco Franco de Barcelona
**** Médico Residente del Servicio de Electroencefalografía. de la Residencia Francisco Franco de Barcelona
***** Jefe Clínico de Cardiología del Departamento de Medicina Interna. de la Residencia Francisco Franco de Barcelona
J. Tornos Solano
Departamento de Medicina Interna de la Residencia Francisco Franco de Barcelona
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Soler Soler" "autores" => array:5 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Morera Prat" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "R." "apellidos" => "Turell Sardañas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "B." "apellidos" => "Rodríguez Sanchón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "M.<span class="elsevierStyleSup">a</span>J." "apellidos" => "Marcos Sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">****</span>" "identificador" => "aff0020" ] ] ] 4 => array:3 [ "nombre" => "J." "apellidos" => "Soler Soler" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*****</span>" "identificador" => "aff0025" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Médico Adjunto del Departamento de Medicina Interna. de la Residencia Francisco Franco de Barcelona" "etiqueta" => "*" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Médico Adjunto del Servicio de Electroencefalografía. de la Residencia Francisco Franco de Barcelona" "etiqueta" => "**" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Médico Residente del Departamento de Medicina Interna. de la Residencia Francisco Franco de Barcelona" "etiqueta" => "***" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Médico Residente del Servicio de Electroencefalografía. de la Residencia Francisco Franco de Barcelona" "etiqueta" => "****" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Jefe Clínico de Cardiología del Departamento de Medicina Interna. de la Residencia Francisco Franco de Barcelona" "etiqueta" => "*****" "identificador" => "aff0025" ] ] ] 1 => array:3 [ "autoresLista" => "J. Tornos Solano" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Tornos Solano" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Medicina Interna de la Residencia Francisco Franco de Barcelona" "identificador" => "aff0030" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Study of a case of alveolar hypoventilation due to micrognathia. Review of literature" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los autores describen un caso de hipoventilación alveolar primaria o hipersomnia con respiración periódica en una paciente de 26 años, causada por micrognatia. Se practicaron estudios hemodinámicos, poligráficos, cinefluorografía y monitorización de la tensión de la art. pulmonar, determinaciones secuenciales durante el sueño de SaO<span class="elsevierStyleInf">2</span> y pCO<span class="elsevierStyleInf">2</span>, y ulterior traqueostomía, con estudios poligráficos post-tratamiento. Los autores demostraron que el factor fundamental en la hipoventilación alveolar y en la repercusión cardíaca era la obstrucción durante el sueño de las vías respiratorias altas. Los autores aportan los resultados de los estudios poligráficos antes y después de la intervención, y piensan que es un caso más de los que abonan la opinión que en el síndrome de hipersomnia y respiración periódica el factor más importante es el obstructivo. Se revisan algunos aspectos de la literatura en relación con el caso.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The authors describe a caseofprimary alveolar hypoventilation or hypersomnia with periodic respiration in a 26-year-old patient caused by micrognathia. Hemodynamic and polygraphic studies, cinefluorography, monitoring of pulmonary artery pressure, requential determinations of SaO<span class="elsevierStyleInf">2</span> and pCO<span class="elsevierStyleInf">2</span> during sleep, and ulterior tracheostomy with posttreatment polygraphic studies were carried out. The authors demonstrate that the basic factor in alveolar hypoventilation and cardiac repercussion was the obstruction of the upper respiratory airways during sleep. The authors present the results of polygraphic studies before and after the surgical operation, and they believe that this is one more case in which the most important factor in the Hypersomnia and Periodic Respiration Syndrome is an obstructive one. Some aspects of the literature on this subject are reviewed.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:57 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bacward displacement of tongue considered as new cause of nasopharingeal respiratory difficulty" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "P. Robin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Bull. Acad. Med. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 1 | 8 |
| 2024 October | 36 | 16 | 52 |
| 2024 September | 44 | 20 | 64 |
| 2024 August | 54 | 23 | 77 |
| 2024 July | 42 | 28 | 70 |
| 2024 June | 63 | 25 | 88 |
| 2024 May | 46 | 61 | 107 |
| 2024 April | 29 | 27 | 56 |
| 2024 March | 56 | 27 | 83 |
| 2024 February | 38 | 32 | 70 |
| 2024 January | 0 | 2 | 2 |
| 2023 December | 0 | 5 | 5 |
| 2023 November | 0 | 20 | 20 |
| 2023 October | 0 | 11 | 11 |
| 2023 September | 0 | 2 | 2 |
| 2023 August | 0 | 4 | 4 |
| 2023 July | 0 | 12 | 12 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 7 | 3 | 10 |
| 2023 February | 26 | 26 | 52 |
| 2023 January | 40 | 28 | 68 |
| 2022 December | 35 | 24 | 59 |
| 2022 November | 54 | 33 | 87 |
| 2022 October | 76 | 33 | 109 |
| 2022 September | 30 | 25 | 55 |
| 2022 August | 36 | 55 | 91 |
| 2022 July | 41 | 44 | 85 |
| 2022 June | 78 | 42 | 120 |
| 2022 May | 45 | 50 | 95 |
| 2022 April | 47 | 46 | 93 |
| 2022 March | 69 | 71 | 140 |
| 2022 February | 36 | 33 | 69 |
| 2022 January | 71 | 45 | 116 |
| 2021 December | 46 | 51 | 97 |
| 2021 November | 33 | 33 | 66 |
| 2021 October | 28 | 55 | 83 |
| 2021 September | 18 | 38 | 56 |
| 2021 August | 17 | 43 | 60 |
| 2021 July | 14 | 24 | 38 |
| 2021 June | 21 | 27 | 48 |
| 2021 May | 11 | 44 | 55 |
| 2021 April | 34 | 91 | 125 |
| 2021 March | 26 | 30 | 56 |
| 2021 February | 47 | 23 | 70 |
| 2021 January | 22 | 40 | 62 |
| 2020 December | 32 | 20 | 52 |
| 2020 November | 19 | 16 | 35 |
| 2020 October | 30 | 8 | 38 |
| 2020 September | 22 | 6 | 28 |
| 2020 August | 20 | 19 | 39 |
| 2020 July | 25 | 19 | 44 |
| 2020 June | 16 | 12 | 28 |
| 2020 May | 23 | 21 | 44 |
| 2020 April | 25 | 14 | 39 |
| 2020 March | 18 | 21 | 39 |
| 2020 February | 24 | 13 | 37 |
| 2020 January | 24 | 19 | 43 |
| 2019 December | 22 | 30 | 52 |
| 2019 November | 9 | 6 | 15 |
| 2019 October | 17 | 14 | 31 |
| 2019 September | 10 | 14 | 24 |
| 2019 August | 14 | 11 | 25 |
| 2019 July | 12 | 17 | 29 |
| 2019 June | 16 | 17 | 33 |
| 2019 May | 29 | 20 | 49 |
| 2019 April | 29 | 12 | 41 |
| 2019 March | 8 | 25 | 33 |
| 2019 February | 6 | 2 | 8 |
| 2019 January | 3 | 9 | 12 |
| 2018 December | 11 | 17 | 28 |
| 2018 November | 21 | 15 | 36 |
| 2018 October | 26 | 11 | 37 |
| 2018 September | 12 | 4 | 16 |
| 2018 May | 17 | 0 | 17 |
| 2018 April | 7 | 3 | 10 |
| 2018 March | 4 | 3 | 7 |
| 2018 February | 11 | 14 | 25 |
| 2018 January | 7 | 6 | 13 |
| 2017 December | 5 | 7 | 12 |
| 2017 November | 7 | 10 | 17 |
| 2017 October | 15 | 11 | 26 |
| 2017 September | 12 | 12 | 24 |
| 2017 August | 12 | 14 | 26 |
| 2017 July | 9 | 6 | 15 |
| 2017 June | 15 | 25 | 40 |
| 2017 May | 14 | 13 | 27 |
| 2017 April | 10 | 10 | 20 |
| 2017 March | 7 | 12 | 19 |
| 2017 February | 9 | 8 | 17 |
| 2017 January | 8 | 10 | 18 |
| 2016 December | 14 | 8 | 22 |
| 2016 November | 24 | 17 | 41 |
| 2016 October | 19 | 14 | 33 |
| 2016 September | 28 | 16 | 44 |
| 2016 August | 22 | 6 | 28 |
| 2016 July | 23 | 5 | 28 |
| 2016 June | 25 | 7 | 32 |
| 2016 May | 21 | 3 | 24 |
| 2016 April | 12 | 0 | 12 |
| 2016 March | 9 | 1 | 10 |
| 2016 February | 11 | 1 | 12 |
| 2016 January | 10 | 4 | 14 |
| 2015 December | 19 | 17 | 36 |
| 2015 November | 24 | 11 | 35 |
| 2015 October | 4 | 1 | 5 |
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