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- W993862399 abstract "Autonomic nervous system (ANS), sleep, and breathing are closely interrelated. Sleep has profound effects on the functions of the ANS and the control of breathing. Sleep-disordered breathing (SDB), including sleep apnea, has been described in many patients with autonomic failure (AF). AF can be primary or secondary to a variety of central or peripheral neurologic or other medical disorders and familial dysautonomia. The best known condition with primary AF is multiple system atrophy (MSA) with progressive AF. First and foremost in the diagnosis of AF is the clinical manifestation of dysautonomia followed by autonomic function tests. For secondary AF, appropriate tests to establish the primary cause should be performed. Only symptomatic measures for sleep apnea or other respiratory arrhythmias and treatment of the primary condition causing secondary AF are available. Tracheostomy remains the only effective emergency treatment for severe respiratory dysfunction in patients with laryngeal stridor caused by laryngeal abductor paralysis and in patients who have been resuscitated from respiratory arrest. However, the decision to perform tracheostomy in a progressive neurodegenerative disease with AF with an overall unfavorable prognosis must be carefully weighed before pursuing this therapy." @default.
- W993862399 created "2016-06-24" @default.
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- W993862399 date "2004-01-01" @default.
- W993862399 modified "2023-09-25" @default.
- W993862399 title "Sleep-Disordered Breathing and Autonomic Failure" @default.
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- W993862399 doi "https://doi.org/10.1016/b978-012589762-4/50098-0" @default.
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