Volumen 64,Numero 1, Suplemento SAHOS, Revista de la Facultad de Medicina

Publicado

2017-08-02

Historia del síndrome de apnea-hipopnea obstructiva del sueño (SAHOS)

History of obstructive sleep apnea-hypopnea syndrome (OSAHS)

Palabras clave:

Apnea del sueño obstructiva, Síndromes de la apnea del sueño, Trastornos respiratorios. (es)
Sleep Apnea, Obstructive, Sleep Apnea Syndromes, History. (en)

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Autores/as

  • Christian Guilleminault Stanford University - Sleep Disorders Clinic - Palo Alto - California - USA.
  • Karem Josefina Parejo-Gallardo Fundación Clínica Shaio - Bogotá D.C. - Colombia.

La historia de la apnea obstructiva del sueño es larga y complicada desde sus primeras descripciones en el siglo XIX con el relato de Pickwick en la primera novela de Charles Dickens. La definición de este término por parte de diferentes investigadores resalta la importancia de comprender las entidades asociadas al síndrome, como la hipoventilación alveolar y la somnolencia diurna excesiva. De esta forma, los estudios neurofisiológicos adelantados desde entonces, el desarrollo de la conferencia de la sociedad europea de neurología de 1964, la descripción del síndrome en pacientes pediátricos, la confirmación de la comorbilidad cardiovascular asociada a la enfermedad, la traqueostomía como tratamiento y la creación de implantes de estimuladores del nervio hipogloso —pasando por el descubrimiento de Sullivan de la presión positiva como tratamiento en casa— han sido esenciales para la comprensión de este síndrome.

The history of obstructive sleep apnea is long and complicated, and some descriptions can be traced back to the early nineteenth century in The Posthumous Papers of the Pickwick Club, the first novel written by Charles Dickens. The definition of this term by different researchers highlights the importance of understanding the entities associated with the syndrome, such as alveolar hypoventilation and excessive daytime sleepiness.

Thus, the neurophysiological studies carried out since then, as well as the European Society of Neurology conference held in 1964, the description of the syndrome in pediatric patients, the confirmation of cardiovascular co-morbidity associated with the disease, tracheostomy as treatment and the creation of hypoglossal nerve stimulus implants —including Sullivan’s discovery of positive pressure as a home treatment— have been essential for the understanding of this syndrome

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Citas

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