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[Sleep apnea in multiple system atrophy].
Nihon Rinsho. 2000 Aug; 58(8):1722-7.NR

Abstract

Multiple system atrophy(MSA) characterized clinically by any combination of autonomic, extrapyramidal or cerebellar symptoms and signs. MSA patients frequently manifest a variety of sleep-related respiratory disturbances, which are life threatening problems. Above all, a common and serious complication is upper-airway obstructive sleep apnea associated with stridor, which is caused by vocal cord abductor paralysis(VCAP). For the early diagnosis of VCAP, it is important to perform laryngoscopy during sleep, because VCAP does not appear during awakefulness in the early stage of MSA. Polysomnographic study should be obtain to assess the severity of respiratory disturbances. Tracheostomy is reliable treatment for respiratory disturbances due to VCAP, while nasal continuous positive pressure may be a useful treatment for some patients.

Authors+Show Affiliations

Department of Neurology, Chiba University School of Medicine.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

jpn

PubMed ID

10944943

Citation

Asahina, M, et al. "[Sleep Apnea in Multiple System Atrophy]." Nihon Rinsho. Japanese Journal of Clinical Medicine, vol. 58, no. 8, 2000, pp. 1722-7.
Asahina M, Yamaguchi M, Fukutake T, et al. [Sleep apnea in multiple system atrophy]. Nippon Rinsho. 2000;58(8):1722-7.
Asahina, M., Yamaguchi, M., Fukutake, T., & Hattori, T. (2000). [Sleep apnea in multiple system atrophy]. Nihon Rinsho. Japanese Journal of Clinical Medicine, 58(8), 1722-7.
Asahina M, et al. [Sleep Apnea in Multiple System Atrophy]. Nippon Rinsho. 2000;58(8):1722-7. PubMed PMID: 10944943.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Sleep apnea in multiple system atrophy]. AU - Asahina,M, AU - Yamaguchi,M, AU - Fukutake,T, AU - Hattori,T, PY - 2000/8/17/pubmed PY - 2001/2/28/medline PY - 2000/8/17/entrez SP - 1722 EP - 7 JF - Nihon rinsho. Japanese journal of clinical medicine JO - Nippon Rinsho VL - 58 IS - 8 N2 - Multiple system atrophy(MSA) characterized clinically by any combination of autonomic, extrapyramidal or cerebellar symptoms and signs. MSA patients frequently manifest a variety of sleep-related respiratory disturbances, which are life threatening problems. Above all, a common and serious complication is upper-airway obstructive sleep apnea associated with stridor, which is caused by vocal cord abductor paralysis(VCAP). For the early diagnosis of VCAP, it is important to perform laryngoscopy during sleep, because VCAP does not appear during awakefulness in the early stage of MSA. Polysomnographic study should be obtain to assess the severity of respiratory disturbances. Tracheostomy is reliable treatment for respiratory disturbances due to VCAP, while nasal continuous positive pressure may be a useful treatment for some patients. SN - 0047-1852 UR - https://www.unboundmedicine.com/medline/citation/10944943/[Sleep_apnea_in_multiple_system_atrophy]_ L2 - http://www.diseaseinfosearch.org/result/6636 DB - PRIME DP - Unbound Medicine ER -