Abnormal breathing patterns in stroke: relationship with location of acute stroke lesion and prior cerebrovascular disease

J Neurol Neurosurg Psychiatry. 2007 Mar;78(3):277-9. doi: 10.1136/jnnp.2006.102228. Epub 2006 Oct 23.

Abstract

Objective: To determine whether central periodic breathing (CPB) is associated with acute involvement of any particular part of the brain, or the extent of total damage in patients with acute stroke.

Methods: CPB was identified using portable monitoring equipment in patients with stroke on admission. A neuroradiologist classified acute stroke lesions and prior cerebrovascular disease on brain images.

Results: Among 134 patients with acute stroke, those with CPB were more likely to have a large acute stroke lesion in a cerebral hemisphere (p = 0.01) and more mass effect (p = 0.03). There was no association between CPB and severe prior cerebrovascular disease on imaging (p = 0.76).

Conclusion: CPB is related to the acute (not old) lesions, particularly large acute cerebral hemispheric lesions with mass effect. A relationship between lesions in any discrete brain location (unilateral or bilateral) and CPB could not be shown.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Brain / pathology*
  • Case-Control Studies
  • Cerebrovascular Disorders / complications*
  • Humans
  • Magnetic Resonance Imaging
  • Respiration Disorders / complications*
  • Stroke / complications*
  • Tomography, X-Ray Computed