• J Clin Sleep Med · Feb 2011

    Case Reports

    Biot's breathing in a woman with fatal familial insomnia: is there a role for noninvasive ventilation?

    • Luis Fernando Casas-Méndez, Manel Lujan, Laura Vigil, and Gemma Sansa.
    • Pulmonary Service, Corporació Parc Taulí, Hospital de Sabadell, Universitat Autònoma de Barcelona, Sabadell (Barcelona), Spain. lcasas@tauli.cat
    • J Clin Sleep Med. 2011 Feb 15; 7 (1): 89-91.

    AbstractWe present the case of a 48-year-old woman suffering from fatal familial insomnia (FFI)--a rare prion disease--who developed Biot's breathing and secondary respiratory failure during the early stages of the illness. Once hypercapnia was detected a trial of nocturnal noninvasive ventilation (NIV) was offered with important improvement of arterial blood gases (ABG), and subjective good quality of sleep. To our knowledge, this is the first report in the medical literature of the use of NIV in the management approach of this devastating disease. Its impact on the prognosis and survival of these patients, however, is yet to be elucidated.

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