Paroxysmal Nocturnal Dyspnea (PND) Overview What is paroxysmal nocturnal dyspnea (PND)? Paroxysmal nocturnal dyspnea (PND) is when you’re suddenly awakened feeling short of breath. Unlike orthopnea, it doesn’t happen when you’re awake and lying down or reclining, only when you’re asleep. PND can feel scary, like you can’t breathe or are working hard to get a deep breath. You may gasp for air and cough. It can be particularly jarring because it wakes you suddenly, after an hour or two of sleep. Sitting up helps you feel better within about 10 to 15 minutes. Paroxysmal nocturnal dyspnea is pronounced “pair-uh-SIZ-muhl knock-TUR-nuhl DISP-nee-uh.” Possible Causes What causes paroxysmal nocturnal dyspnea? Heart, lung and neurological issues are the most common causes of sudden breathlessness when you’re sleeping: Heart disease. When you’re lying down, your blood moves from your legs to your lungs. If your heart can’t move the extra blood out efficiently, the extra fluid puts pressure on y...
Acrocallosal Syndrome Overview Acrocallosal syndrome, Schinzel type is a rare genetic disorder that is apparent at birth (congenital). Associated symptoms and findings may be variable, including among affected members of the same family (kindred). However, the disorder is typically characterized by underdevelopment (hypoplasia) or absence (agenesis) of the thick band of nerve fibers joining the two hemispheres of the brain (corpus callosum) and moderate to severe mental retardation. In addition, many affected individuals have malformations of the skull and facial (craniofacial) region and/or distinctive abnormalities of the fingers and toes (digits). Characteristic craniofacial abnormalities may include an unusually large head (macrocephaly) with a prominent forehead, widely spaced eyes (ocular hypertelorism), downslanting eyelid folds (palpebral fissures), a small nose with a broad nasal bridge; and malformed (dysplastic) ears. Most affected individuals also have distinctive digital m...