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Published on: March 6, 2019
Congenital hypoventilation syndromes
Daniel J Lesser1, Sally L Davidson Ward, Sheila S Kun
1Childrens Hospital Los Angeles, Keck School of Medicine, University of Southern California, USA.
Insights
Congenital hypoventilation syndromes, though rare, significantly affect patients. This review details the clinical features of several pediatric hypoventilation disorders, including congenital central hypoventilation syndrome (CCHS).
Area of Science:
- Pediatric Pulmonology
- Neurology
- Genetics
Background:
- Congenital hypoventilation syndromes are rare but have profound impacts.
- Hypoventilation is a primary feature in some conditions like congenital central hypoventilation syndrome (CCHS).
- Ventilatory issues may not always be apparent at initial presentation in certain syndromes.
Purpose of the Study:
- To present the clinical aspects of various pediatric hypoventilation syndromes.
- To highlight key features of CCHS and related disorders.
- To provide a comprehensive overview for clinicians and researchers.
Main Methods:
- Review of clinical literature on pediatric hypoventilation syndromes.
- Compilation of presenting features and diagnostic considerations.
- Comparative analysis of distinct hypoventilation disorders.
Main Results:
- Detailed clinical descriptions of CCHS, Chiari type II malformation, Prader-Willi syndrome, familial dysautonomia, and rapid onset obesity with hypothalamic dysfunction, hypoventilation, and autonomic dysregulation.
- Emphasis on the variability of hypoventilation presentation.
- Identification of common and distinct clinical characteristics.
Conclusions:
- Understanding the diverse clinical presentations is crucial for timely diagnosis.
- Early recognition of hypoventilation is vital for effective management.
- Further research into the pathophysiology and treatment of these syndromes is warranted.
Abstract:
Although rare, congenital hypoventilation syndromes profoundly impact affected patients and families. In some diseases, such as congenital central hypoventilation syndrome (CCHS), hypoventilation is a key presenting feature. Ventilatory abnormalities may not be immediately evident in other disease states. The clinical aspects of several pediatric hypoventilation syndromes, including CCHS, Chiari type II malformation, Prader-Willi syndrome, familial dysautonomia, and rapid onset obesity with hypothalamic dysfunction, hypoventilation, and autonomic dysregulation are presented.
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