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SUMMARY Amyotrophic Lateral Sclerosis (ALS) is a rapidly progressive neurological disease that attacks motor neurons responsible for controlling voluntary muscles. The cognitive functions of the patient remain intact. In the advanced stages the respiratory muscles fail and the patient needs some modality of ventilatory support. Two cases with ALS bulbar form diagnosis were benefited from this therapeutic intervention in our city.

La difícil decisión de ventilación mecánica en esclerosis lateral amiotrófica: A propósito de dos casos.