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REM sleep behavior disorder and vocal cord paralysis in Machado-Joseph disease

✍ Scribed by Alex Iranzo; Esteban Muñoz; Joan Santamaria; Isabel Vilaseca; Montserrat Milà; Eduardo Tolosa

Publisher
John Wiley and Sons
Year
2003
Tongue
English
Weight
64 KB
Volume
18
Category
Article
ISSN
0885-3185

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✦ Synopsis

Abstract

We evaluated the occurrence of REM sleep behaviour disorder (RBD) and vocal cord abductor paralysis (VCAP) in a group of 9 Machado‐Joseph disease (MJD) patients. RBD was diagnosed by clinical history plus audiovisual polysomnography in 4 men and 1 woman (55%). While dreaming, 4 fell out of the bed and the other injured his arms. Laryngoscopy detected bilateral VCAP in 1 patient with stridor who required emergency tracheotomy, and partial vocal cord abductor restriction in 2. RBD and VCAP are two potentially injurious conditions that should be considered part of the clinical spectrum of MJD. © 2003 Movement Disorder Society

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