%0 Journal Article
%T Acquired Central Alveolar Hypoventilation as a Sequelae of Brainstem Tuberculoma
%A Boon Hau Ng
%A Hsueh Jing Low
%A Nik Nuratiqah Nik Abeed
%A Nor Safiqah Sharil
%A Rose Azzlinda Osman
%A Andrea Yu-Lin Ban
%J Open Access Library Journal
%V 11
%N 10
%P 1-6
%@ 2333-9721
%D 2024
%I Open Access Library
%R 10.4236/oalib.1112218
%X Central alveolar hypoventilation (CAH) is a rare condition resulting from brainstem injury, characterised by a loss of automatic breathing. We present a case of a 16-year-old female initially diagnosed with a brainstem glioma based on magnetic resonance imaging brain. Following craniotomy and tumour debulking, she developed episodic apnoea during both wakefulness and sleep. Histopathological analysis of the brainstem specimen unexpectedly revealed a diagnosis of brainstem tuberculoma. Despite the initiation of anti-tuberculous therapy, the patient showed persistent CAH two weeks post-treatment. Management required tracheostomy and long-term pressure-control synchronised intermittent mandatory ventilation (PC-SIMV), which effectively stabilised her respiratory function.
%K Alveolar Hypoventilation
%K Tuberculoma
%K Mechanical Ventilation
%U http://www.oalib.com/paper/6837686