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Multiple-System Atrophy with Cerebellar Predominance Presenting as Respiratory Insufficiency and Vocal Cords Paralysis
Joint Authors
Ferreira, Diana
Dias da Costa, José Manuel
Rosas, Maria José
de Mello, Ramon Andrade Bezerra
Quinaz, João Manuel
Source
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-09-01
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
MSA (Multiple System Atrophy) may be associated either with Parkinsonism or with cerebellar ataxia (MSA-c subtype).
It is considered a rare disease, but many patients are misdiagnosed as suffering from idiopathic Parkinson's disease.
In this paper, we report a case of a patient admitted with respiratory failure and vocal cords paralysis due to MSA-c.
Case Report.
A 79-year-old Caucasian woman was admitted in March 2010 with dyspnea, asthenia, stridor, and respiratory failure needing noninvasive ventilation.
She had orthostatic blood pressure decline, constipation, insomnia, daytime sleepiness, and snoring.
The neurologic examination revealed cerebellar ataxia.
A laryngoscopy revealed vocal cord paralysis in midline position and tracheostomy was performed.
The Brain Magnetic Resonance Imaging revealed atrophy of middle cerebellar peduncles and pons with the “hot cross bun sign.” Conclusion.
Although Multiple-system atrophy is a rare disease, unexplained respiratory failure, bilateral vocal cord paralysis, or stridor should lead to consider MSA as diagnosis.
American Psychological Association (APA)
de Mello, Ramon Andrade Bezerra& Ferreira, Diana& Dias da Costa, José Manuel& Rosas, Maria José& Quinaz, João Manuel. 2010. Multiple-System Atrophy with Cerebellar Predominance Presenting as Respiratory Insufficiency and Vocal Cords Paralysis. Case Reports in Medicine،Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-464993
Modern Language Association (MLA)
de Mello, Ramon Andrade Bezerra…[et al.]. Multiple-System Atrophy with Cerebellar Predominance Presenting as Respiratory Insufficiency and Vocal Cords Paralysis. Case Reports in Medicine No. 2010 (2010), pp.1-4.
https://search.emarefa.net/detail/BIM-464993
American Medical Association (AMA)
de Mello, Ramon Andrade Bezerra& Ferreira, Diana& Dias da Costa, José Manuel& Rosas, Maria José& Quinaz, João Manuel. Multiple-System Atrophy with Cerebellar Predominance Presenting as Respiratory Insufficiency and Vocal Cords Paralysis. Case Reports in Medicine. 2010. Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-464993
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-464993