Sleep‐related stridor due to dystonic vocal cord motion and neurogenic tachypnea/tachycardia in multiple system atrophy
Identifieur interne : 002B70 ( Main/Exploration ); précédent : 002B69; suivant : 002B71Sleep‐related stridor due to dystonic vocal cord motion and neurogenic tachypnea/tachycardia in multiple system atrophy
Auteurs : Roberto Vetrugno [Italie] ; Rocco Liguori [Italie] ; Pietro Cortelli [Italie] ; Giuseppe Plazzi [Italie] ; Claudio Vicini [Italie] ; Aldo Campanini [Italie] ; Roberto D'Angelo [Italie] ; Federica Provini [Italie] ; Pasquale Montagna [Italie]Source :
- Movement Disorders [ 0885-3185 ] ; 2007-04-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Dystonia, Dystonia (diagnosis), Dystonia (physiopathology), Electromyography, Humans, Laryngeal Diseases (diagnosis), Laryngeal Diseases (physiopathology), Male, Middle Aged, Multiple System Atrophy (diagnosis), Multiple System Atrophy (physiopathology), Multiple system atrophy, Nervous system diseases, Polysomnography, Respiratory Sounds (diagnosis), Respiratory Sounds (physiopathology), Sleep, Sleep Disorders (diagnosis), Sleep Disorders (physiopathology), Stridor, Tachycardia, Tachycardia (diagnosis), Tachycardia (physiopathology), Video Recording, Vocal Cords (innervation), Vocal Cords (physiopathology), Vocal cord, dystonia, electromyography, multiple system atrophy, polysomnography, sleep, stridor.
- MESH :
- diagnosis : Dystonia, Laryngeal Diseases, Multiple System Atrophy, Respiratory Sounds, Sleep Disorders, Tachycardia.
- innervation : Vocal Cords.
- physiopathology : Dystonia, Laryngeal Diseases, Multiple System Atrophy, Respiratory Sounds, Sleep Disorders, Tachycardia, Vocal Cords.
- Electromyography, Humans, Male, Middle Aged, Polysomnography, Video Recording.
Abstract
Sleep‐disordered breathing and sleep‐related motor phenomena are part of the clinical spectrum of multiple system atrophy (MSA). Stridor has been attributed to denervation of laryngeal muscles or instead to dystonic vocal cord motion. We studied 3 patients with nocturnal stridor in the setting of MSA. All patients underwent nocturnal videopolysomnography (VPSG) with breathing and heart rate, O2 saturation and intra‐esophageal pressure recordings, and simultaneous EMG recordings of the posterior cricoarytenoid, cricothyroid, and thyroarytenoid muscles and continuous vocal cord motion evaluation by means of fiberoptic laryngoscopy. VPSG/EMG and fiberoptic laryngoscopy documented normal vocal cord motion without denervation during wake and stridor only during sleep when hyperactivation of vocal cords adductors appeared in the absence of significant O2 desaturation. All patients had tachycardia and tachypnea and paradoxical breathing during sleep, erratic intercostalis and diaphragmatic EMG activity and Rem sleep behavior disorder. One of the patients had restless legs syndrome with periodic limb movement during sleep and excessive fragmentary hypnic myoclonus. In conclusion, our patients with MSA had nocturnal stridor due to sleep‐related laryngeal dystonia. Stridor was associated with other abnormal sleep‐related respiratory and motor disorders, suggesting an impairment of homeostatic brainstem integration in MSA. © 2007 Movement Disorder Society
Url:
DOI: 10.1002/mds.21384
Affiliations:
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University of Bologna, Bologna</wicri:regionArea><wicri:noRegion>Bologna</wicri:noRegion></affiliation></author><author><name sortKey="Cortelli, Pietro" sort="Cortelli, Pietro" uniqKey="Cortelli P" first="Pietro" last="Cortelli">Pietro Cortelli</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neurological Sciences, University of Bologna, Bologna</wicri:regionArea><wicri:noRegion>Bologna</wicri:noRegion></affiliation></author><author><name sortKey="Plazzi, Giuseppe" sort="Plazzi, Giuseppe" uniqKey="Plazzi G" first="Giuseppe" last="Plazzi">Giuseppe Plazzi</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neurological Sciences, University of Bologna, Bologna</wicri:regionArea><wicri:noRegion>Bologna</wicri:noRegion></affiliation></author><author><name sortKey="Vicini, Claudio" sort="Vicini, Claudio" uniqKey="Vicini C" first="Claudio" last="Vicini">Claudio Vicini</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>ENT and Head and Neck Surgery Unit, G.B. 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Pierantoni Hospital, Forlí</wicri:regionArea><wicri:noRegion>Forlí</wicri:noRegion></affiliation></author><author><name sortKey="D Angelo, Roberto" sort="D Angelo, Roberto" uniqKey="D Angelo R" first="Roberto" last="D'Angelo">Roberto D'Angelo</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neurological Sciences, University of Bologna, Bologna</wicri:regionArea><wicri:noRegion>Bologna</wicri:noRegion></affiliation></author><author><name sortKey="Provini, Federica" sort="Provini, Federica" uniqKey="Provini F" first="Federica" last="Provini">Federica Provini</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neurological Sciences, University of Bologna, Bologna</wicri:regionArea><wicri:noRegion>Bologna</wicri:noRegion></affiliation></author><author><name sortKey="Montagna, Pasquale" sort="Montagna, Pasquale" uniqKey="Montagna P" first="Pasquale" last="Montagna">Pasquale Montagna</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neurological Sciences, University of Bologna, Bologna</wicri:regionArea><wicri:noRegion>Bologna</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2007-04-15">2007-04-15</date><biblScope unit="vol">22</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="673">673</biblScope><biblScope unit="page" to="678">678</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">D28C748FC4DCE762DB0E45828FB23A6AACCCFC35</idno><idno type="DOI">10.1002/mds.21384</idno><idno type="ArticleID">MDS21384</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dystonia</term><term>Dystonia (diagnosis)</term><term>Dystonia (physiopathology)</term><term>Electromyography</term><term>Humans</term><term>Laryngeal Diseases (diagnosis)</term><term>Laryngeal Diseases (physiopathology)</term><term>Male</term><term>Middle Aged</term><term>Multiple System Atrophy (diagnosis)</term><term>Multiple System Atrophy (physiopathology)</term><term>Multiple system atrophy</term><term>Nervous system diseases</term><term>Polysomnography</term><term>Respiratory Sounds (diagnosis)</term><term>Respiratory Sounds (physiopathology)</term><term>Sleep</term><term>Sleep Disorders (diagnosis)</term><term>Sleep Disorders (physiopathology)</term><term>Stridor</term><term>Tachycardia</term><term>Tachycardia (diagnosis)</term><term>Tachycardia (physiopathology)</term><term>Video Recording</term><term>Vocal Cords (innervation)</term><term>Vocal Cords (physiopathology)</term><term>Vocal cord</term><term>dystonia</term><term>electromyography</term><term>multiple system atrophy</term><term>polysomnography</term><term>sleep</term><term>stridor</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dystonia</term><term>Laryngeal Diseases</term><term>Multiple System Atrophy</term><term>Respiratory Sounds</term><term>Sleep Disorders</term><term>Tachycardia</term></keywords><keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Vocal Cords</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dystonia</term><term>Laryngeal Diseases</term><term>Multiple System Atrophy</term><term>Respiratory Sounds</term><term>Sleep Disorders</term><term>Tachycardia</term><term>Vocal Cords</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Electromyography</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Polysomnography</term><term>Video Recording</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Atrophie multisystématisée</term><term>Corde vocale</term><term>Dystonie</term><term>Electromyographie</term><term>Polysomnographie</term><term>Sommeil</term><term>Stridor</term><term>Système nerveux pathologie</term><term>Tachycardie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Sleep‐disordered breathing and sleep‐related motor phenomena are part of the clinical spectrum of multiple system atrophy (MSA). Stridor has been attributed to denervation of laryngeal muscles or instead to dystonic vocal cord motion. We studied 3 patients with nocturnal stridor in the setting of MSA. All patients underwent nocturnal videopolysomnography (VPSG) with breathing and heart rate, O2 saturation and intra‐esophageal pressure recordings, and simultaneous EMG recordings of the posterior cricoarytenoid, cricothyroid, and thyroarytenoid muscles and continuous vocal cord motion evaluation by means of fiberoptic laryngoscopy. VPSG/EMG and fiberoptic laryngoscopy documented normal vocal cord motion without denervation during wake and stridor only during sleep when hyperactivation of vocal cords adductors appeared in the absence of significant O2 desaturation. All patients had tachycardia and tachypnea and paradoxical breathing during sleep, erratic intercostalis and diaphragmatic EMG activity and Rem sleep behavior disorder. One of the patients had restless legs syndrome with periodic limb movement during sleep and excessive fragmentary hypnic myoclonus. In conclusion, our patients with MSA had nocturnal stridor due to sleep‐related laryngeal dystonia. Stridor was associated with other abnormal sleep‐related respiratory and motor disorders, suggesting an impairment of homeostatic brainstem integration in MSA. © 2007 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Vetrugno, Roberto" sort="Vetrugno, Roberto" uniqKey="Vetrugno R" first="Roberto" last="Vetrugno">Roberto Vetrugno</name></noRegion><name sortKey="Campanini, Aldo" sort="Campanini, Aldo" uniqKey="Campanini A" first="Aldo" last="Campanini">Aldo Campanini</name><name sortKey="Cortelli, Pietro" sort="Cortelli, Pietro" uniqKey="Cortelli P" first="Pietro" last="Cortelli">Pietro Cortelli</name><name sortKey="D Angelo, Roberto" sort="D Angelo, Roberto" uniqKey="D Angelo R" first="Roberto" last="D'Angelo">Roberto D'Angelo</name><name sortKey="Liguori, Rocco" sort="Liguori, Rocco" uniqKey="Liguori R" first="Rocco" last="Liguori">Rocco Liguori</name><name sortKey="Montagna, Pasquale" sort="Montagna, Pasquale" uniqKey="Montagna P" first="Pasquale" last="Montagna">Pasquale Montagna</name><name sortKey="Plazzi, Giuseppe" sort="Plazzi, Giuseppe" uniqKey="Plazzi G" first="Giuseppe" last="Plazzi">Giuseppe Plazzi</name><name sortKey="Provini, Federica" sort="Provini, Federica" uniqKey="Provini F" first="Federica" last="Provini">Federica Provini</name><name sortKey="Vicini, Claudio" sort="Vicini, Claudio" uniqKey="Vicini C" first="Claudio" last="Vicini">Claudio Vicini</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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