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Abductor vocal fold palsy in the Shy-Drager syndrome presenting with snoring and sleep apnoea

  • Fergus McBrien (a1), Paul D. R. Spraggs (a1), John P. Harcourt (a1) and Charles B. Croft (a1)

Abstract

The case of an elderly male with Shy-Drager syndrome is presented. His presentation to the Sleep Clinic for assessment of snoring illustrates bilateral abductor vocal fold palsy as a rare presentation of the syndrome. This case emphasizes the need for thorough investigation of all patients with sleep-related breathing disorders with video and sound recordings prior to anaesthesia and surgery.

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Corresponding author

Address for correspondence: Mr C. B. Croft, F.R.C.S., The Royal National Throat, Nose and Ear Hospital, 330-336 Gray's Inn Road, London WC1X 8DA.

References

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Ellis, P., Ffowcs, D. M., Williams, J. E., Shreerson, J. M. (1993) Surgical relief of snoring due to palatal flutter: a preliminary report. Annals of the Royal College of Surgeons of England 75: 286290.
Lugaresi, E., Cirignotta, F., Coccagna, G., Piana, C. (1980) Some epidemiological data on snoring and cardio-respiratory disturbances. Sleep 3: 221224.
Pringle, M. B., Croft, C. B. (1991) Sleep nasendoscopy: a technique of assessment in snoring and OSA. Clinical Otolaryngology 16: 504509.
Shy, G. M., Drager, G. A. (1960) A neurological syndrome associated with orthostatic hypotension. Archives of Neurology 2: 511527.
Sweeney, B. P., Jones, S., Langford, R. M. (1985) Anaesthesia with dysautonomia: further complications. Anaesthesia 40: 783787.
Williams, A., Hanson, D., Calne, D. B. (1979) Vocal cord paralysis in the Shy-Drager Syndrome. Journal of Neurology, Neurosurgery and Psychiatry 42: 151153.

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