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Positional and sleep dyspnoea due to posterior exophytic ependymoma of the medulla oblongata
  1. F Maiuri,
  2. M Esposito
  1. Dipartimento di Scienze Neurologiche, Clinica Neurochirurgica, Universitý Federico II, Via S. Pansini 5, Naples, Italy
  1. Correspondence to:
 Professor F Maiuri;

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A 43 year old man suffered several episodes of dyspnoea occurring during sleep and while awake in the supine position; no respiratory disturbances were reported when standing or sitting. Two weeks later, headache and vomiting also occurred. At observation, 1 month after the clinical onset, the neurological examination revealed bilateral papillo-oedema. There were no abnormalities of the heart, upper respiratory pathways, or lungs. Spirometric and blood gas studies were normal. Brain magnetic resonance imaging (MRI) showed tetraventricular hydrocephalus and a posterior fossa tumour arising from the posterior aspect of the …

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  • Competing interests: none declared