Multiple System Atrophy with Progressive Nocturnal Hypoxemia: Case Report with Polysomnography and Continuous Positive Airway Pressure Treatment | Zendy

Takayoshi Shimohata | Zendy; Hideaki Nakayama | Zendy; Hideo Shinoda | Zendy; Hiroki Tsukada | Zendy; Sugata Takahashi | Zendy; Fumitake Gejo | Zendy; Masatoyo Nishizawa | Zendy

Open Access

Multiple System Atrophy with Progressive Nocturnal Hypoxemia: Case Report with Polysomnography and Continuous Positive Airway Pressure Treatment

Author(s) -

Takayoshi Shimohata,

Hideaki Nakayama,

Hideo Shinoda,

Hiroki Tsukada,

Sugata Takahashi,

Fumitake Gejo,

Masatoyo Nishizawa

Publication year - 2006

Publication title -

european neurology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.573

H-Index - 77

eISSN - 1421-9913

pISSN - 0014-3022

DOI - 10.1159/000096677

Subject(s) - hypoxemia , polysomnography , medicine , nocturnal , continuous positive airway pressure , atrophy , airway , anesthesia , positive airway pressure , cardiology , apnea , obstructive sleep apnea

A 6 1-year-old woman, with no past his-tory of cardiopulmonary diseases, devel-oped a gait disturbance at age 57 and uri-nary incontinence and orthostatic hypo-tension at age 58, all of which steadily worsened. At age 59, she presented with nocturnal stridor and daytime sleepiness. At age 60, she was admitted to our hospital for the evaluation of the cause of her noc-turnal stridor. Her height and weight were 146.5 cm and 54.5 kg, respectively (body mass index 25.4). A chest X-ray revealed normal findings, but arterial blood gas ex-amination in room air showed a mild hy-poxemia (PaO

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