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Motor Neuron Disease Presenting With Acute Respiratory Failure: A Case Study

Other Titles
 호흡곤란을 초기 주소로 한 운동신경원 질환 환자 
Authors
 Hyeonjun Oh  ;  Seong Woong Kang  ;  Won Ah Choi  ;  Jang Woo Lee  ;  Miri Suh  ;  Eun Young Kim 
Citation
 Annals of Rehabilitation Medicine, Vol.41(2) : 328-331, 2017 
Journal Title
 Annals of Rehabilitation Medicine 
ISSN
 2234-0645 
Issue Date
2017
Keywords
Mechanical ventilation ; Motor neuron disease ; Respiratory insufficiency
Abstract
Motor neuron diseases (MNDs) refer to a heterogeneous group of progressive neurologic disorders caused by degeneration of motor neurons. The diseases affect either the upper motor neurons, lower motor neurons, or both, and are characterized by weakness, atrophy, fasciculation, spasticity, and respiratory failure. We report a case of a 61-year-old male patient with no past history of cardiovascular or pulmonary disease, who presented with only dyspnea, and no indication of any other symptom such as muscle weakness, atrophy, or bulbar dysfunction. Neuromuscular conduction study, including a study of the phrenic nerve, confirmed the diagnosis of MND. The patient greatly improved giving respiratory assistance at night, using a noninvasive ventilator. This case indicates that MNDs should be considered as differential diagnoses for patients showing acute respiratory failure of unknown causes. This report will aid in the prompt diagnosis and treatment of MNDs.
Files in This Item:
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DOI
10.5535/arm.2017.41.2.328
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실)
Yonsei Authors
강성웅(Kang, Seong Woong) ORCID logo https://orcid.org/0000-0002-7279-3893
김은영(Kim, Eun Young)
서미리(Suh, Mi Ri)
오현준(Oh, Hyeon Jun)
최원아(Choi, Won Ah)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154448
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