MovDisordV3, PascalFrancis, Curation, bibRecord, 001597

Sleep-related stridor due to dystonic vocal cord motion and neurogenic tachypnea/tachycardia in multiple system atrophy

Identifieur interne : 001597 ( PascalFrancis/Curation ); précédent : 001596; suivant : 001598

Sleep-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.

RBID : Pascal:07-0263033

Descripteurs français

Pascal (Inist)
- Système nerveux pathologie, Atrophie multisystématisée, Dystonie, Sommeil, Corde vocale, Tachycardie, Polysomnographie, Electromyographie, Stridor.

English descriptors

KwdEn :
- Dystonia, Electromyography, Multiple system atrophy, Nervous system diseases, Polysomnography, Sleep, Stridor, Tachycardia, Vocal cord.

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.

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A08	`01`	`1`	`ENG`	`@1 Sleep-related stridor due to dystonic vocal cord motion and neurogenic tachypnea/tachycardia in multiple system atrophy`
A11	`01`	`1`		`@1 VETRUGNO (Roberto)`
A11	`02`	`1`		`@1 LIGUORI (Rocco)`
A11	`03`	`1`		`@1 CORTELLI (Pietro)`
A11	`04`	`1`		`@1 PLAZZI (Giuseppe)`
A11	`05`	`1`		`@1 VICINI (Claudio)`
A11	`06`	`1`		`@1 CAMPANINI (Aldo)`
A11	`07`	`1`		`@1 D'ANGELO (Roberto)`
A11	`08`	`1`		`@1 PROVINI (Federica)`
A11	`09`	`1`		`@1 MONTAGNA (Pasquale)`
A14	`01`			`@1 Department of Neurological Sciences, University of Bologna @2 Bologna @3 ITA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 7 aut. @Z 8 aut. @Z 9 aut.`
A14	`02`			`@1 ENT and Head and Neck Surgery Unit, G.B. Morgagni-L. Pierantoni Hospital @2 Forlì @3 ITA @Z 5 aut. @Z 6 aut.`
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A21				`@1 2007`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 20953 @5 354000149439720110`
A44				`@0 0000 @1 © 2007 INIST-CNRS. All rights reserved.`
A45				`@0 34 ref.`
A47	`01`	`1`		`@0 07-0263033`
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A61				`@0 A`
A64	`01`	`1`		`@0 Movement disorders`
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C01	`01`		`ENG`	@0 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.
C02	`01`	`X`		`@0 002B17`
C02	`02`	`X`		`@0 002B17F`
C02	`03`	`X`		`@0 002B16B`
C03	`01`	`X`	`FRE`	`@0 Système nerveux pathologie @5 01`
C03	`01`	`X`	`ENG`	`@0 Nervous system diseases @5 01`
C03	`01`	`X`	`SPA`	`@0 Sistema nervioso patología @5 01`
C03	`02`	`X`	`FRE`	`@0 Atrophie multisystématisée @2 NM @5 02`
C03	`02`	`X`	`ENG`	`@0 Multiple system atrophy @2 NM @5 02`
C03	`02`	`X`	`SPA`	`@0 Atrofia multisistematizada @2 NM @5 02`
C03	`03`	`X`	`FRE`	`@0 Dystonie @5 03`
C03	`03`	`X`	`ENG`	`@0 Dystonia @5 03`
C03	`03`	`X`	`SPA`	`@0 Distonía @5 03`
C03	`04`	`X`	`FRE`	`@0 Sommeil @5 09`
C03	`04`	`X`	`ENG`	`@0 Sleep @5 09`
C03	`04`	`X`	`SPA`	`@0 Sueño @5 09`
C03	`05`	`X`	`FRE`	`@0 Corde vocale @5 10`
C03	`05`	`X`	`ENG`	`@0 Vocal cord @5 10`
C03	`05`	`X`	`SPA`	`@0 Cuerda vocal @5 10`
C03	`06`	`X`	`FRE`	`@0 Tachycardie @5 11`
C03	`06`	`X`	`ENG`	`@0 Tachycardia @5 11`
C03	`06`	`X`	`SPA`	`@0 Taquicardia @5 11`
C03	`07`	`X`	`FRE`	`@0 Polysomnographie @5 12`
C03	`07`	`X`	`ENG`	`@0 Polysomnography @5 12`
C03	`07`	`X`	`SPA`	`@0 Polisomnografía @5 12`
C03	`08`	`X`	`FRE`	`@0 Electromyographie @5 13`
C03	`08`	`X`	`ENG`	`@0 Electromyography @5 13`
C03	`08`	`X`	`SPA`	`@0 Electromiografía @5 13`
C03	`09`	`X`	`FRE`	`@0 Stridor @4 CD @5 96`
C03	`09`	`X`	`ENG`	`@0 Stridor @4 CD @5 96`
C07	`01`	`X`	`FRE`	`@0 Mouvement involontaire @5 37`
C07	`01`	`X`	`ENG`	`@0 Involuntary movement @5 37`
C07	`01`	`X`	`SPA`	`@0 Movimiento involuntario @5 37`
C07	`02`	`X`	`FRE`	`@0 Cycle veille sommeil @5 38`
C07	`02`	`X`	`ENG`	`@0 Sleep wake cycle @5 38`
C07	`02`	`X`	`SPA`	`@0 Ciclo sueño vigilia @5 38`
C07	`03`	`X`	`FRE`	`@0 Extrapyramidal syndrome @5 39`
C07	`03`	`X`	`ENG`	`@0 Extrapyramidal syndrome @5 39`
C07	`03`	`X`	`SPA`	`@0 Extrapiramidal síndrome @5 39`
C07	`04`	`X`	`FRE`	`@0 Muscle strié pathologie @5 40`
C07	`04`	`X`	`ENG`	`@0 Striated muscle disease @5 40`
C07	`04`	`X`	`SPA`	`@0 Músculo estriado patología @5 40`
C07	`05`	`X`	`FRE`	`@0 Trouble neurologique @5 41`
C07	`05`	`X`	`ENG`	`@0 Neurological disorder @5 41`
C07	`05`	`X`	`SPA`	`@0 Trastorno neurológico @5 41`
C07	`06`	`X`	`FRE`	`@0 Electrophysiologie @5 42`
C07	`06`	`X`	`ENG`	`@0 Electrophysiology @5 42`
C07	`06`	`X`	`SPA`	`@0 Electrofisiología @5 42`
C07	`07`	`X`	`FRE`	`@0 Encéphale pathologie @5 43`
C07	`07`	`X`	`ENG`	`@0 Cerebral disorder @5 43`
C07	`07`	`X`	`SPA`	`@0 Encéfalo patología @5 43`
C07	`08`	`X`	`FRE`	`@0 Système nerveux central pathologie @5 44`
C07	`08`	`X`	`ENG`	`@0 Central nervous system disease @5 44`
C07	`08`	`X`	`SPA`	`@0 Sistema nervosio central patología @5 44`
N21				`@1 176`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

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Pascal:07-0263033

Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Sleep-related stridor due to dystonic vocal cord motion and neurogenic tachypnea/tachycardia in multiple system atrophy</title>
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<author><name sortKey="Vicini, Claudio" sort="Vicini, Claudio" uniqKey="Vicini C" first="Claudio" last="Vicini">Claudio Vicini</name>
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<author><name sortKey="D Angelo, Roberto" sort="D Angelo, Roberto" uniqKey="D Angelo R" first="Roberto" last="D'Angelo">Roberto D'Angelo</name>
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<author><name sortKey="Montagna, Pasquale" sort="Montagna, Pasquale" uniqKey="Montagna P" first="Pasquale" last="Montagna">Pasquale Montagna</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurological Sciences, University of Bologna</s1>
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<series><title level="j" type="main">Movement disorders</title>
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<seriesStmt><title level="j" type="main">Movement disorders</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dystonia</term>
<term>Electromyography</term>
<term>Multiple system atrophy</term>
<term>Nervous system diseases</term>
<term>Polysomnography</term>
<term>Sleep</term>
<term>Stridor</term>
<term>Tachycardia</term>
<term>Vocal cord</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term>
<term>Atrophie multisystématisée</term>
<term>Dystonie</term>
<term>Sommeil</term>
<term>Corde vocale</term>
<term>Tachycardie</term>
<term>Polysomnographie</term>
<term>Electromyographie</term>
<term>Stridor</term>
</keywords>
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<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, O<sub>2</sub>
 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 O<sub>2</sub>
 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.</div>
</front>
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<fA03 i2="1"><s0>Mov. disord.</s0>
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<fA05><s2>22</s2>
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<fA06><s2>5</s2>
</fA06>
<fA08 i1="01" i2="1" l="ENG"><s1>Sleep-related stridor due to dystonic vocal cord motion and neurogenic tachypnea/tachycardia in multiple system atrophy</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>VETRUGNO (Roberto)</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>LIGUORI (Rocco)</s1>
</fA11>
<fA11 i1="03" i2="1"><s1>CORTELLI (Pietro)</s1>
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<fA11 i1="04" i2="1"><s1>PLAZZI (Giuseppe)</s1>
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<fA11 i1="05" i2="1"><s1>VICINI (Claudio)</s1>
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<fA11 i1="06" i2="1"><s1>CAMPANINI (Aldo)</s1>
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<fA11 i1="07" i2="1"><s1>D'ANGELO (Roberto)</s1>
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<fA11 i1="08" i2="1"><s1>PROVINI (Federica)</s1>
</fA11>
<fA11 i1="09" i2="1"><s1>MONTAGNA (Pasquale)</s1>
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<fA14 i1="01"><s1>Department of Neurological Sciences, University of Bologna</s1>
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<s3>ITA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
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<fA14 i1="02"><s1>ENT and Head and Neck Surgery Unit, G.B. Morgagni-L. Pierantoni Hospital</s1>
<s2>Forlì</s2>
<s3>ITA</s3>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
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<fA20><s1>673-678</s1>
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<fA21><s1>2007</s1>
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<fC01 i1="01" l="ENG"><s0>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, O<sub>2</sub>
 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 O<sub>2</sub>
 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.</s0>
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<fC02 i1="03" i2="X"><s0>002B16B</s0>
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<s5>03</s5>
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<s4>CD</s4>
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<s5>38</s5>
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<fC07 i1="02" i2="X" l="ENG"><s0>Sleep wake cycle</s0>
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<s5>39</s5>
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</fN21>
<fN44 i1="01"><s1>OTO</s1>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Sleep-related stridor due to dystonic vocal cord motion and neurogenic tachypnea/tachycardia in multiple system atrophy

Sleep-related stridor due to dystonic vocal cord motion and neurogenic tachypnea/tachycardia in multiple system atrophy

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