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Tracheostomy invasive ventilation for stridor in multiple system atrophy

  • Anna Delamarre
    Affiliations
    CHU Bordeaux, Service de Neurologie - Maladies Neurodégénératives, CRMR AMS, IMNc, F-33000, Bordeaux, France
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  • Wassilios G. Meissner
    Correspondence
    Corresponding author. Service de Neurologie - Maladies Neurodégénératives, Hôpital Pellegrin, CHU Bordeaux, Place Amélie Raba Léon, 33076, BORDEAUX CEDEX, France.
    Affiliations
    CHU Bordeaux, Service de Neurologie - Maladies Neurodégénératives, CRMR AMS, IMNc, F-33000, Bordeaux, France
    Univ. Bordeaux, CNRS, IMN, UMR 5293, F-33000, Bordeaux, France
    Dept. Medicine, University of Otago, Christchurch, New Zealand
    New Zealand Brain Research Institute, Christchurch, New Zealand
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      Multiple system atrophy (MSA) is a rare neurodegenerative disease characterized by various combinations of autonomic failure, parkinsonism, and cerebellar ataxia [
      • Gilman S.
      • Wenning G.K.
      • Low P.A.
      • Brooks D.J.
      • Mathias C.J.
      • Trojanowski J.Q.
      • et al.
      Second consensus statement on the diagnosis of multiple system atrophy.
      ]. Median survival is reduced to 6–10 years after symptom onset [
      • Wenning G.K.
      • Geser F.
      • Krismer F.
      • Seppi K.
      • Duerr S.
      • Boesch S.
      • et al.
      The natural history of multiple system atrophy: a prospective European cohort study.
      ,
      • Foubert-Samier A.
      • Traon A.P.
      • Guillet F.
      • Le-Goff M.
      • Helmer C.
      • Tison F.
      • et al.
      Disease progression and prognostic factors in multiple system atrophy: a prospective cohort study.
      ,
      • Low P.A.
      • Reich S.G.
      • Jankovic J.
      • Shults C.W.
      • Stern M.B.
      • Novak P.
      • et al.
      Natural history of multiple system atrophy in the USA: a prospective cohort study.
      ]. Causes of death in MSA commonly include aspiration pneumonia and sudden death during sleep, stridor being one suspected cause of the latter.
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