title: Shy-Drager syndrome presenting as Menière's disease.
abstract: A 59-year-old patient with a history of Menière's disease is presented. She developed signs of progressive autonomic failure suggesting a diagnosis of Shy-Drager syndrome, a rare degenerative neurologic condition of unknown etiology. The most common otolaryngologic presentation of this syndrome is with stridor attributable to abductor paralysis of the vocal cords. The association with endolymphatic hydrops has not been previously described.
authors.affiliation: University Department of Otolaryngology, Manchester Royal Infirmary, England.
authors.forename: A E
authors.initials: AE
authors.lastname: Hinton
authors.forename: R T
authors.initials: RT
authors.lastname: Ramsden
authors.forename: S
authors.initials: S
authors.lastname: Saeed
mesh_terms: D001301:Audiometry, Pure-Tone; D003937:Diagnosis, Differential; D018159:Endolymphatic Hydrops / Q000188:drug therapy; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D006801:Humans; D008575:Meniere Disease / Q000150:complications / Q000175:diagnosis*; D008875:Middle Aged; D012791:Shy-Drager Syndrome / Q000150:complications / Q000175:diagnosis*; D014826:Vocal Cord Paralysis / Q000150:complications