Hereditary neuropathy and vocal cord paralysis in a man with childhood diphtheria.

Abstract:

:We present the case of a 37-year-old Afghani man with a history of childhood diphtheria, who was diagnosed with bilateral vocal cord paralysis at age 15 years. At about this time he developed progressive muscular wasting and distally predominant weakness, and subsequently developed respiratory insufficiency, necessitating nocturnal ventilatory support. His examination suggested a distal symmetric sensorimotor neuropathy, and his brother was similarly affected, although to a lesser degree. Electromyography (EMG) and nerve conduction studies revealed this process to be purely axonal. A diagnosis of possible hereditary motor and sensory neuropathy (HMSN) type IIc, hereditary axonal polyneuropathy with vocal cord paralysis, is proposed, although the question of early diphtheritic involvement of the vocal cords and peripheral nerves is also considered.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Reichler BD,Scelsa SN,Simpson DM

doi

10.1002/(sici)1097-4598(200001)23:1<132::aid-mus21

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

132-7

issue

1

eissn

0148-639X

issn

1097-4598

pii

10.1002/(SICI)1097-4598(200001)23:1<132::AID-MUS21

journal_volume

23

pub_type

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