Journal
MOVEMENT DISORDERS
Volume 18, Issue 10, Pages 1179-1183Publisher
WILEY-LISS
DOI: 10.1002/mds.10509
Keywords
Machado-Joseph disease; REM sleep behaviour disorder; polysomnography; vocal cord paralysis; laryngoscopy
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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 I woman (55%). While dreaming, 4 fell out of the bed and the other injured his arms. Laryngoscopy detected bilateral VCAP in I 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. (C) 2003 Movement Disorder Society.
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