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Neuro Oncol 1999 1(4):289-291; DOI:10.1215/15228517-1-4-289
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Duke University Press

Case Study

Obstructive sleep apnea syndrome in a patient with medulloblastoma

Glen Greenough1, Michael Sateia and Camilo E. Fadul

Sleep Disorders Center, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756

1 Address correspondence and reprint requests to Glen Greenough, M.D., Sleep Disorders Center, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756.

Abstract

We present one adult patient with medulloblastoma who developed polysomnographically documented obstructive sleep apnea after posterior fossa surgery. The sleep apnea worsened in conjunction with clinical and imaging-con-firmed neoplastic progression and clinically improved after craniospinal radiation therapy. Medulloblastoma or its surgical treatment has never before been implicated in a sleep-related breathing disorder. We discuss possible mechanisms for its occurrence and management implications.







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Copyright 1999 by Society for Neuro-Oncology