Multiple System Atrophy Manifested by Bilateral Vocal Cord Palsy as an Initial Sign / 대한구급학회지
The Korean Journal of Critical Care Medicine
; : 123-127, 2015.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-770861
Responsible library:
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Ventilation
/
Tracheostomy
/
Vocal Cord Paralysis
/
Multiple System Atrophy
/
Sleep Apnea, Central
/
Parkinsonian Disorders
/
Diagnosis
/
Airway Obstruction
/
Hypotension, Orthostatic
/
Korea
Type of study:
Diagnostic study
Limits:
Aged
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
English
Journal:
The Korean Journal of Critical Care Medicine
Year:
2015
Document type:
Article