J Korean Neurol Assoc.  2005 Dec;23(6):836-839.

A Case of Severe Obesity-Hypoventilation Syndrome Treated by Bilevel Positive Airway Pressure Therapy

Affiliations
  • 1Department of Neurology, Korea University College of Medicine, Seoul, Korea. dystonia@medimail.co.kr
  • 2Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.

Abstract

Obesity-Hypoventilation syndrome (OHS) is characterized by morbid obesity, hypoxia, and hypercapnea during wakefulness without parechymal lung disease or severe obstructive sleep apnea. A woman was admitted because of mental deterioration and diagnosed as OHS on the basis of obesity and hypoventilation, while awake, after ruling out other causes. By bilevel positive airway pressure (BiPAP) therapy, hypercapnea and hypoxia were resolved. We report that BiPAP can be an effective treatment for severe hypercapnea and hypoxia in OHS, which obviate the need for invasive endotracheal intubation.

Keyword

Obesity hypoventilation syndrome; Bilevel positive airway pressure

MeSH Terms

Anoxia
Female
Humans
Hypoventilation
Intubation, Intratracheal
Lung Diseases
Obesity
Obesity Hypoventilation Syndrome*
Obesity, Morbid
Sleep Apnea, Obstructive
Wakefulness
Full Text Links
  • JKNA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr