Primary alveolar hypoventilation (Ondine's curse syndrome) in an infant without external arcuate nucleus. Case report

Bull Eur Physiopathol Respir. Jul-Aug 1979;15(4):659-65.


A five month old boy suffered from primary alveolar hypoventilation, with attacks of apnea during sleep (Ondine's curse syndrome). The ventilation did not increase when PACO2 was increased. However, it decreased during hyperoxia. This indicates a strong peripheral chemoreceptor drive and a dysfunction of the central chemoreception. The infant died from circulatory failure following an aspiration pneumonia. Autopsy revealed the absence of the external arcuate nucleus, which may be involved in the central chemocreception.

Publication types

  • Case Reports

MeSH terms

  • Chemoreceptor Cells / physiopathology
  • Humans
  • Infant
  • Male
  • Medulla Oblongata / abnormalities*
  • Respiration
  • Sleep Apnea Syndromes / etiology*
  • Sleep Apnea Syndromes / pathology
  • Sleep Apnea Syndromes / physiopathology
  • Vaccination