Abstract:
:Sudden death has been reported in patients with multiple system atrophy (MSA), although the frequency of this event has not been well delineated. We investigated the frequency and potential causes of sudden death in patients with MSA. During the 5-year observation period, 10 of 45 patients with probable MSA died. The causes of death included sudden death of unknown etiology (seven patients), aspiration pneumonia (one patient), asphyxia after vomiting (one patient), and lung cancer (one patient). The mean survival time of patients with sudden death was 63.0 +/- 24.7 months (range, 39-116 months). Among seven patients who experienced sudden death, six were found to have died during sleep. Among these patients, two had been treated with tracheostomy and three with continuous positive airway pressure (CPAP) or noninvasive positive pressure ventilation (NPPV) during sleep, suggesting that these treatments do not always prevent sudden death in patients with MSA. Nocturnal sudden death should be recognized as the most common mechanism of death in patients with MSA.
journal_name
J Neuroljournal_title
Journal of neurologyauthors
Shimohata T,Ozawa T,Nakayama H,Tomita M,Shinoda H,Nishizawa Mdoi
10.1007/s00415-008-0941-4subject
Has Abstractpub_date
2008-10-01 00:00:00pages
1483-5issue
10eissn
0340-5354issn
1432-1459journal_volume
255pub_type
杂志文章abstract::Two sexually active female patients presented with acute meningitis. The CSF abnormalities were severe and persistent. In spite of the absence of genital lesions, serological studies revealed a primary infection by herpes simplex virus type 2. An immunoblot study revealed intrathecal synthesis of anti-herpes antibodie...
journal_title:Journal of neurology
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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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