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KMID : 0604020150300020123
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Korean Journal of Critical Care Medicine
2015 Volume.30 No. 2 p.123 ~ p.127
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Multiple System Atrophy Manifested by Bilateral Vocal Cord Palsy as an Initial Sign
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Seo Yu-Ri
Jeung Soo-Min
Kim Min-Chul
Lee Nah-Kyum
Ghang Byeong-Zu
Chung Sun-Ju
Koh Youn-Suck
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Abstract
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A 71-year-old male initially presented with vocal cord palsy and underwent tracheostomy. After thorough examination, urogenitaldysfunction, orthostatic hypotension, and Parkinsonism were found, which led to the diagnosis of multiple system atrophy (MSA). Afterthe tracheostomy, bi-level positive airway pressure ventilation was required during the night due to nocturnal hypoxemia. Nighttimehypoxemia is related to central sleep apnea, which is one of the manifestations of MSA. This is the first case of MSA manifested bybilateral vocal cord palsy as an initial sign in Korea. This case supports the notion that MSA should be taken into consideration whenvocal cord paralysis is observed.
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KEYWORD
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airway obstruction, multiple system atrophy, parkinsonism, vocal cord paralysis
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