Asiye KANBAY, Handan KÖSEOĞLU İNÖNÜ, Oğuz KÖKTÜRK

Santral uyku apne sendromu tedavisi, güncel bilgiler ve literatürün gözden geçiril mesirevıew

Santra l u yku a pne sen dromu (centra l s lee p a pnea sy n drome, CSAS); solunum merkezin den ka y na klanan so lunum dürtüsü nn ün aza l-nmas ı ve ya ka yb o lması sonucu u yku da so lunum durmasıyla kara kterize b ir hasta lık ta blosudur. U yku b ozu klu kları merkezin e b a şvu -neran o lgu ların %5in den azın da görü lme kle b irlikte, kon jestif ka lp yetmezliği, b ö b re k yetmez liği, santra l sinir sistemi pato lojilerininlovarlığın da CSAS görü lme oran ı artar. U luslararası Uy ku Bozu klu kları Sın ıflamasın ın son versiyonun da (Internationa l Classification of icSleep Disorders, ICSD-2) a ltı b a şlıkta toplanm ış o lan CSASın te davisi, h er b ir CSAS tipi için ayrıca lık gösterir. Bu derlem e de CSASedtedavi yakla şımların ın güncel bilgiler ışığında gözden geçirilmesi amaçlanm ıştır.

The Treatment of central sleep-ap neas yndrome, updated ın formation, and review of the literature

Centra l s lee p-a pnea s yn drome (CSAS) is a disease state ch aracterize d by respiratory arrest as a resu lt of decrease or lack o f respir-ofatory drive originatin g from respiratory center. Althou gh it is seen in less than 5% of the casses who consult to the sleep d sordersdiscenter, incidence of CSAS increases in the presence of con gestive heart and/or renal failure, and central nervous system a bb normal-bities. Treatment of CSAS which has been analyzed under six h ea din gs in th e last version of Internationa l Classification of S leepDisorders (ICSD-2), differs among each type of CSAS. In th isreview, our aim is to ana lyze treatment a lternatives for CSAS inth e ligh t of currently update d information.

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