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

J Clin Sleep Med. 2011 Feb 15;7(1):89-91.

Abstract

We 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.

Keywords: Fatal familial insomnia; noninvasive ventilation; prions.

Publication types

  • Case Reports

MeSH terms

  • Autopsy
  • Disease Progression
  • Fatal Outcome
  • Female
  • Humans
  • Hypercapnia / diagnosis*
  • Hypercapnia / etiology
  • Hypercapnia / therapy
  • Insomnia, Fatal Familial / diagnosis*
  • Insomnia, Fatal Familial / genetics
  • Insomnia, Fatal Familial / therapy*
  • Middle Aged
  • Polysomnography / methods
  • Pulmonary Gas Exchange
  • Rare Diseases
  • Respiration, Artificial
  • Respiratory Function Tests
  • Respiratory Insufficiency / complications*
  • Respiratory Insufficiency / diagnosis
  • Severity of Illness Index