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Orbital Herniation Associated With Noninvasive Positive Pressure Ventilation

Daniel Lazowick; Thomas J. Meyer; Mark Pressman; Donald Peterson
Author and Funding Information

Affiliations: From the Division of Pulmonary and Critical Care Medicine, Department of Medicine, and Sleep Disorders Center, The Lankenau Hospital and Medical Research Center, Wynnewood, Pa,  From the Division of Pulmonary and Critical Care Medicine, Department of Medicine, and Sleep Disorders Center, The Lankenau Hospital and Medical Research Center, Wynnewood, Pa; and the Department of Medicine, Jefferson Medical College, Philadelphia

Affiliations: From the Division of Pulmonary and Critical Care Medicine, Department of Medicine, and Sleep Disorders Center, The Lankenau Hospital and Medical Research Center, Wynnewood, Pa,  From the Division of Pulmonary and Critical Care Medicine, Department of Medicine, and Sleep Disorders Center, The Lankenau Hospital and Medical Research Center, Wynnewood, Pa; and the Department of Medicine, Jefferson Medical College, Philadelphia


1998 by the American College of Chest Physicians


Chest. 1998;113(3):841-843. doi:10.1378/chest.113.3.841
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Abstract

A diagnosis of severe obstructive sleep apnea was made after a 52-year-old hypertensive man developed a large intracranial hemorrhage. Therapeutic noninvasive positive pressure ventilation (NPPV) for obstructive sleep apnea and hypoventilation was complicated by transient unilateral orbital herniation. As best as can be determined, this represents a new, potentially deleterious side effect of NPPV.


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