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Abductor Paresis in Shy-Drager Disease

  • Eiji Isozaki
Chapter
Part of the Current Clinical Neurology book series (CCNEU)

Abstract

Patient 1: A 55-year-old woman was admitted to our hospital because of progressive parkinsonism. She was diagnosed with striatonigral degeneration. Because of nocturnal snoring, a fiberoptic laryngoscopy was performed during wakefulness, showing a mild abduction restriction of the vocal cords. Arterial blood gas analysis was normal. Over the next year, she developed inspiratory stridor during wakefulness, especially while talking. A second fiberoptic laryngoscopy during wakefulness showed a narrower glottic aperture as compared with the previous examination. Arterial blood gas analysis showed only mild hypoxemia: pH = 7.44, pCO2 = 43 Torr, PO2 = 72 Torr. At this point, she had no dyspnea and could still speak and eat. Only 3 weeks after admission, she was found in a cardiopulmonary arrest in her bed at 8 pm, only 15 minutes after she was heard snoring as usual.

Keywords

Obstructive Sleep Apnea Continuous Positive Airway Pressure Vocal Cord Multiple System Atrophy Vocal Cord Paralysis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Humana Press Inc. 2005

Authors and Affiliations

  • Eiji Isozaki
    • 1
  1. 1.Department of NeurologyTokyo Metropolitan Neurological HospitalTokyoJapan

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