pulmonary heart disease/crise epiléptica

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Grand mal seizure induced by oral theophylline.

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A grand mal convulsion occurred in a patient with decompensated cor pulmonale. Although only modest doses of oral theophylline were being administered at the time of the convulsion the serum theophylline level was markedly raised and the theophylline clearance was very low. After treatment for cor

Convulsion of the lung: an historical analysis of the cause of Dr Johnson's fatal emphysema.

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Of Johnson's fatal emphysema, it appears probable, on available historical and anatomic evidence, that it resulted from bronchiectasis, a diagnosis favoured by the pattern of illness: a protracted and severe respiratory infection succeeded by annual episodes of severe winter bronchitis, remitting in

[Hypertrophic tonsils, upper airway obstruction and cardiac complications. A combined otological, medical and anesthesiological problem].

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Hypoventilation in children with hypertrophied tonsils can cause hypoxemia, hypercarbia, acidosis and pulmonary vasoconstriction resulting in cardiac arrhythmias or cor pulmonale. In addition, cerebral symptoms such as day-time hypersomnia or even seizures may be present. Early recognition of

Sleep apnea studies in an infant with congenital primary hypoventilation ("Ondine's curse").

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Recurrent apneic episodes were typically associated with sleep, not wakefulness, in an infant with congenital primary hypoventilation ("Ondine's Curse"). Quiet sleep (SLQ) was shown to constitute a higher risk condition than active sleep (SLA) at the ages she was recorded polygraphically (2-4 months

Medical and psychosocial outcome of children with congenital central hypoventilation syndrome.

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We report the long-term medical and psychosocial outcome of 13 children with congenital central hypoventilation syndrome. One child (8%) died before initial hospital discharge. Of the remaining 12 children, 11 (92%) have been successfully cared for in their natural or foster parents' homes. Home

Anesthetic care for the child with congenital central alveolar hypoventilation syndrome (Ondine's curse).

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Idiopathic congenital central alveolar hypoventilation syndrome, otherwise known as Ondine's curse, is a rare neuropathologic syndrome characterized by an inadequate respiratory drive with hypoventilation and periods of prolonged apnea resulting in hypercarbia and hypoxemia. Although no definite

[Neurogenic pulmonary edema. Description of a case occurring after an epileptic crisis].

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A 34-year-old woman without heart disease had an acute pulmonary edema after a grand mal seizure. Neurogenic pulmonary edema is characterized by the primary role played by the central nervous system in its pathogenesis, usually in the absence of cardiopulmonary disease. We believe that the

[Sleep obstructive apnea syndrome and temporomandibular ankylosis. Maxillofacial correction for adults and children].

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Juvenile temporomandibular bony ankylosis may generate micro- and retroposition of the mandible. Collapse of the upper airway during sleep due to muscle atonia awakens the patient, leading to compensative diurnal hypersomnia. In severe cases, alveolar hypoventilation may result in anoxic seizure,

[Treatment of two cases of periodic sleep apnea by maxillo-facial surgery].

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Acute pulmonary oedema following grand mal epilepsy and as a complication of electric shock therapy.

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Two patients are described who developed acute pulmonary oedema: the first following a grand mal epileptic seizure of idiopathic origin, the second following electric shock therapy (ECT) for depression. Neither patient had any detectable underlying cardiopulmonary disease. The first patient

Outcomes in presyncope patients: a prospective cohort study.

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OBJECTIVE Presyncope is the sudden onset of a sense of impending loss of consciousness without losing consciousness (which differentiates it from syncope). Our goals are to determine the frequency of emergency department (ED) presyncope visits, management, 30-day outcomes, and emergency physicians'

An analysis of fifteen childhood asthma fatalities.

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There is evidence from pediatric tertiary care centers in the United States that childhood deaths from asthma in hospitalized patients are becoming increasingly rare, while asthma mortality outside the hospital appears to be on the rise. When a young outpatient with asthma dies, the event is apt to

Anesthesia for pediatric patients with Prader-Willi syndrome: report of two cases.

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Prader-Willi syndrome (PWS) is a sporadic disorder of chromosome abnormalities with an estimated prevalence of 1 in 15,000. It mainly affects the central nervous system, and often involves the hypothalamus. Both general and regional anesthesia for these patients is difficult mainly due to morbid

[Recurrent pulmonary edema associated with obstructive sleep apnea syndrome].

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A 70-year-old non-obese man with no history of cardiopulmonary disease presented 4 times to the emergency room because of sudden onset of seizure during sleep. Each time he recovered within a few hours without any medication. Nocturnal polysomnographic recording revealed severe obstructive sleep

Propofol infusion syndrome in patients with refractory status epilepticus: an 11-year clinical experience.

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OBJECTIVE Propofol is a sedative, anesthetic, and antiepileptic agent that is frequently used in patients with refractory status epilepticus. Propofol infusion syndrome is a feared complication of propofol use, especially at high infusion rates for prolonged periods. The present study describes the

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