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NEUROLOGY 2005;64:1465-1467
© 2005 American Academy of Neurology


Brief Communications

Respiratory failure in Pompe disease: Treatment with noninvasive ventilation

U. Mellies, MD, F. Stehling, MD, C. Dohna-Schwake, MD, R. Ragette, MD, H. Teschler, MD and T. Voit, MD

From the Department of Pediatrics and Pediatric Neurology (Drs. Mellies, Stehling, Dohna-Schwake, and Voit), University of Essen, and Department of Pneumology and Sleep Medicine (Drs. Ragette and Teschler), Ruhrlandklinik, Essen, Germany.

Address correspondence and reprint requests to Dr. U. Mellies, Department of Pediatrics and Pediatric Neurology, University of Essen, Hufelandstr. 55, D-45122 Essen, Germany; e-mail: uwe.mellies{at}uni-essen.de

In this study, noninvasive ventilation (NIV) was prospectively applied to eight patients (35.8 ± 11.4 years) with late-onset Pompe disease and respiratory failure apparent from severe restrictive lung disease, nocturnal hypoxemia (83 ± 8%), and daytime hypercapnia (66.7 ± 17.9 mm Hg). The impact of NIV on respiratory function was followed for 34 ± 17 months. Despite further decrease of vital capacity and inspiratory muscle strength, NIV normalized oxygen saturation during sleep (96 ± 1%), daytime carbon dioxide tensions (44.1 ± 3.6 mm Hg), and symptoms.


Supported by grants from the University of Essen (grant 107505-0/IFORES) and the Alfried Krupp von Bohlen and Halbach Foundation.

Received July 27, 2004. Accepted in final form December 23, 2004.




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