Later-onset congenital central hypoventilation syndrome (LO-CCHS) does not present only breathing problems but can be present as episodic multiple organs involvement. Our unique case demonstrated LO-CCHS should be considered in the differential diagnosis of mitochondrial diseases and having nontypical polysomnography result.
Keywords: Congenital central hypoventilation syndrome; PHOX2B; episodic of respiratory failure; milder later‐onset.