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Abductor Paresis in Shy-Drager Disease

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Movement Disorder Emergencies

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

Patient 1: A 55-year-old woman was admitted to our hospital because of progressive parkinsonism. She was diagnosed with striatonigral degeneration. Because of nocturnal snoring, a fiberoptic laryngoscopy was performed during wakefulness, showing a mild abduction restriction of the vocal cords. Arterial blood gas analysis was normal. Over the next year, she developed inspiratory stridor during wakefulness, especially while talking. A second fiberoptic laryngoscopy during wakefulness showed a narrower glottic aperture as compared with the previous examination. Arterial blood gas analysis showed only mild hypoxemia: pH = 7.44, pCO2 = 43 Torr, PO2 = 72 Torr. At this point, she had no dyspnea and could still speak and eat. Only 3 weeks after admission, she was found in a cardiopulmonary arrest in her bed at 8 pm, only 15 minutes after she was heard snoring as usual.

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Authors and Affiliations

  1. Department of Neurology, Tokyo Metropolitan Neurological Hospital, Tokyo, Japan

    Eiji Isozaki MD

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  1. Eiji Isozaki MD
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© 2005 Humana Press Inc.

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Isozaki, E. (2005). Abductor Paresis in Shy-Drager Disease. In: Movement Disorder Emergencies. Current Clinical Neurology. Humana Press. https://doi.org/10.1385/1-59259-902-8:069

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  • DOI: https://doi.org/10.1385/1-59259-902-8:069

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-305-3

  • Online ISBN: 978-1-59259-902-8

  • eBook Packages: MedicineMedicine (R0)

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