Multiple System Atrophy Manifested by Bilateral Vocal Cord Palsy as an Initial Sign / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 123-127, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-770861
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ventilação
/
Traqueostomia
/
Paralisia das Pregas Vocais
/
Atrofia de Múltiplos Sistemas
/
Apneia do Sono Tipo Central
/
Transtornos Parkinsonianos
/
Diagnóstico
/
Obstrução das Vias Respiratórias
/
Hipotensão Ortostática
/
Coreia (Geográfico)
Tipo de estudo:
Estudo diagnóstico
Limite:
Idoso
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
The Korean Journal of Critical Care Medicine
Ano de publicação:
2015
Tipo de documento:
Artigo
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