Myotonic dystrophy type 1 (DM1) presenting with laryngeal stridor and vocal fold paresis.
Myotonic dystrophy type 1 (DM1) is the most common inherited muscle disorder and may present in numerous ways due to characteristic multisystem involvement. We report a 47-year-old man who presented with an 8-year history of slowly progressive dyspnea and episodic stridor. The laryngeal paresis was documented with videostroboscopy and laryngeal electromyography, and treated with tracheostomy and antimyotonia agents.
Ahmadian
Jennifer L
JL
Department of Neurology, Northwestern Memorial Hospital, 251 E. Huron Street, Chicago, Illinois 60611, USA. jenniferahmadian@hotmail.com
Heller
Scott L
SL
Nishida
Takashi
T
Altman
Kenneth W
KW
D000402:Airway Obstruction / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D000927:Anticonvulsants / Q000627:therapeutic use; D004417:Dyspnea / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D007821:Laryngeal Muscles / Q000473:pathology / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D018908:Muscle Weakness / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D009223:Myotonic Dystrophy / Q000150:complications / Q000473:pathology / Q000503:physiopathology*; D010672:Phenytoin / Q000627:therapeutic use; D012135:Respiratory Sounds / Q000209:etiology / Q000503:physiopathology*; D014139:Tracheostomy; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000150:complications / Q000503:physiopathology*
D000927:Anticonvulsants; D010672:Phenytoin