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Vocal cord paralysis as a presenting sign in the Shy-Drager syndrome

Published online by Cambridge University Press:  29 June 2007

Giora Martinovits ,
George Leventon ,
Yochanan Goldhammer  and
Menachem Sadeh
Giora Martinovits*
Affiliation:
Tel Hashomer and Tel Aviv, Israel
George Leventon*
Affiliation:
Tel Hashomer and Tel Aviv, Israel
Yochanan Goldhammer*
Affiliation:
Tel Hashomer and Tel Aviv, Israel
Menachem Sadeh*
Affiliation:
Tel Hashomer and Tel Aviv, Israel
*
Department of Neurology, The Chaim Sheba Medical Center, Tel Hashomer 52621, Israel.
Department of Neurology, The Chaim Sheba Medical Center, Tel Hashomer 52621, Israel.
Department of Neurology, The Chaim Sheba Medical Center, Tel Hashomer 52621, Israel.
Department of Neurology, The Chaim Sheba Medical Center, Tel Hashomer 52621, Israel.
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Abstract

A 70-year-old patient with bilateral vocal cord paralysis, accompanied by inspiratory stridor and increased snoring, is presented. Respiratory dysfunction, deteriorating over 18 months, necessitated permanent tracheostomy. Only two and a half years after the onset of symptoms the patient developed extrapyramidal signs combined with severe autonomic failure, duggesting a diagnosis of Shy-Drager syndrome. Vocal cord palsy preceding any other neurological or autonomic manifestations of that syndrome has been infrequently described. This diagnosis should be considered in cases of vocal cord palsy of undetermined etiology, especially when associated with increased snoring or episodes of sleep apnea.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 102 , Issue 3 , March 1988 , pp. 280 - 281
Copyright
Copyright © JLO (1984) Limited 1988

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