Cardiorespiratory syndrome of extreme obesity with papilledema

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Abstract
An informative case is presented of the cardiorespiratory syndrome of extreme obesity with papilledema. The diagnosis was confirmed by pulmonary function and metabolic and necropsy studies. A combination of hypoxemia and hypercapnia was present. Lethargy, drowsiness, and myoclonic jerks of the fingers were noted. Papilledema appeared to be due to intense venous congestion of the brain without brain swelling resulting from combined hypercapnia and anoxemia. The slow waves present in the electroencephalogram in this case appeared to be due to hypercapnia as well as hypoxemia. The possible relation of cerebral hypercarbia and diminished cerebral capillary-venous flow in some cases of pseudo-tumor cerebri is discussed.

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