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 Nervejournal_title
Muscle & nerveauthors
Reichler BD,Scelsa SN,Simpson DMdoi
10.1002/(sici)1097-4598(200001)23:1<132::aid-mus21subject
Has Abstractpub_date
2000-01-01 00:00:00pages
132-7issue
1eissn
0148-639Xissn
1097-4598pii
10.1002/(SICI)1097-4598(200001)23:1<132::AID-MUS21journal_volume
23pub_type
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