Abnormal ventilatory control in patients with Prader-Willi syndrome when aw
ake and sleeping include abnormal responses to hyperoxia, hypoxia and hyper
carbia. Lindgren et al., report similar results regarding response to hypox
ia; however, they have demonstrated significant minute ventilation and carb
on dioxide responses in their patients treated with growth hormone irrespec
tive of body mass index. It is possible that the explanation for the abnorm
al respiratory control in this syndrome is located in central rather than p
eripheral structures. The hypothalamus stands out as the possible location
that links their abnormal ventilatory control with the other features. Furt
her investigations to correlate this finding are warranted.