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Titolo:
Autonomic dysfunction with breathing disorders during sleep (Gerhardt's syndrome) in a patient with multiple system atrophy
Autore:
Eissler, M; Holocher, R; Lindenstrauss, M; Wild, K; Braun, B;
Indirizzi:
Univ Tubingen, D-72074 Tubingen, Germany Univ Tubingen Tubingen Germany D-72074 bingen, D-72074 Tubingen, Germany
Titolo Testata:
MEDIZINISCHE KLINIK
fascicolo: 10, volume: 96, anno: 2001,
pagine: 626 - 631
SICI:
0723-5003(20011015)96:10<626:ADWBDD>2.0.ZU;2-P
Fonte:
ISI
Lingua:
GER
Soggetto:
ABDUCTOR PARALYSIS; DIAGNOSIS;
Keywords:
inspiratory stridor; multiple system atrophy; syncopes; Gerhardt's syndrome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Holocher, R Robert Bosch Krankenhaus, Auerbachstr 110, D-70376 Stuttgart, Germany Robert Bosch Krankenhaus Auerbachstr 110 Stuttgart Germany D-70376
Citazione:
M. Eissler et al., "Autonomic dysfunction with breathing disorders during sleep (Gerhardt's syndrome) in a patient with multiple system atrophy", MED KLIN, 96(10), 2001, pp. 626-631

Abstract

Findings: This case involves a 56-year-old man with a 3-year case history,starting with vertigo, cerebellar symptoms, followed by inspiratory stridor, especially during the night, and autonomic failure with recurrent syncopes. Magnetic resonance imaging confirmed the diagnosis of olivopontocerebellar atrophy and tilting table tests with plasma catecholamine measurement revealed an extensive drop of blood pressure with no adequate change in the heart rate or plasma catecholamine, leading to the diagnosis of multiple system atrophy (MSA). In addition, bronchoscopy revealed that the inspiratorystridor was caused by paradoxical movement of the vocal cords (sometimes known as Gerhardt's syndrome). Treatment and Course: The patient needed a tracheotomy and treatment of the autonomic symptoms. He could be discharged in better psychic condition, without syncopes or respiratory problems.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 10:36:38