A 38-year-old previously healthy woman was referred to our sleep center for recurrent witnessed breathing arrest during sleep. She had been brought to the ED 3 months earlier because of sudden onset of dizziness with nausea and vomiting, numbness and weakness of the left limb, less clear speech, double vision, dysphagia, and choking cough while drinking water. Brain MRI showed an acute cerebral infarction in the left medulla oblongata (Fig 1). High-resolution MRI showed vertebral artery dissection (Fig 2). Antiplatelet aggregation, lipid reduction, plaque stabilization, and trophic nerve treatments were administered, and the left limb strength, speech, and swallowing function improved. She complained of poor sleep and difficulties with memory.

中文翻译：

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一名 38 岁女性，延髓梗死后出现 REM 为主的中枢性睡眠呼吸暂停

一名 38 岁的先前健康的女性因在睡眠期间反复出现呼吸停止而被转诊至我们的睡眠中心。 3个月前，她因突然出现头晕、恶心、呕吐、左肢麻木无力、言语不清、复视、吞咽困难、饮水呛咳而被送往急诊室。脑部 MRI 显示左侧延髓出现急性脑梗死（图 1）。高分辨率 MRI 显示椎动脉夹层（图 2）。给予抗血小板聚集、降脂、稳定斑块和营养神经治疗，左肢力量、言语和吞咽功能得到改善。她抱怨睡眠不佳和记忆力困难。