Multiple System Atrophy Manifested by Bilateral Vocal Cord Palsy as an Initial Sign / 대한중환자의학회지
Korean Journal of Critical Care Medicine
; : 123-127, 2015.
Article
Dans En
| WPRIM
| ID: wpr-71279
Responsable en Bibliothèque :
WPRO
ABSTRACT
A 71-year-old male initially presented with vocal cord palsy and underwent tracheostomy. After thorough examination, urogenital dysfunction, orthostatic hypotension, and Parkinsonism were found, which led to the diagnosis of multiple system atrophy (MSA). After the tracheostomy, bi-level positive airway pressure ventilation was required during the night due to nocturnal hypoxemia. Night-time hypoxemia is related to central sleep apnea, which is one of the manifestations of MSA. This is the first case of MSA manifested by bilateral vocal cord palsy as an initial sign in Korea. This case supports the notion that MSA should be taken into consideration when vocal cord paralysis is observed.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Ventilation
/
Trachéostomie
/
Paralysie des cordes vocales
/
Atrophie multisystématisée
/
Apnée centrale du sommeil
/
Syndromes parkinsoniens
/
Diagnostic
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Obstruction des voies aériennes
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Hypotension orthostatique
/
Corée
Type d'étude:
Diagnostic_studies
Limites du sujet:
Aged
/
Humans
/
Male
Pays comme sujet:
Asia
langue:
En
Texte intégral:
Korean Journal of Critical Care Medicine
Année:
2015
Type:
Article