Stridor in multiple system atrophy: Consensus statement on diagnosis, prognosis, and treatment.
Journal
Neurology
ISSN: 1526-632X
Titre abrégé: Neurology
Pays: United States
ID NLM: 0401060
Informations de publication
Date de publication:
01 10 2019
01 10 2019
Historique:
received:
22
03
2019
accepted:
20
06
2019
entrez:
2
10
2019
pubmed:
2
10
2019
medline:
31
1
2020
Statut:
ppublish
Résumé
Multiple system atrophy (MSA) is a neurodegenerative disorder characterized by a combination of autonomic failure, cerebellar ataxia, and parkinsonism. Laryngeal stridor is an additional feature for MSA diagnosis, showing a high diagnostic positive predictive value, and its early occurrence might contribute to shorten survival. A consensus definition of stridor in MSA is lacking, and disagreement persists about its diagnosis, prognosis, and treatment. An International Consensus Conference among experts with methodological support was convened in Bologna in 2017 to define stridor in MSA and to reach consensus statements for the diagnosis, prognosis, and treatment. Stridor was defined as a strained, high-pitched, harsh respiratory sound, mainly inspiratory, occurring only during sleep or during both sleep and wakefulness, and caused by laryngeal dysfunction leading to narrowing of the rima glottidis. According to the consensus, stridor may be recognized clinically by the physician if present at the time of examination, with the help of a witness, or by listening to an audio recording. Laryngoscopy is suggested to exclude mechanical lesions or functional vocal cord abnormalities related to different neurologic conditions. If the suspicion of stridor needs confirmation, drug-induced sleep endoscopy or video polysomnography may be useful. The impact of stridor on survival and quality of life remains uncertain. Continuous positive airway pressure and tracheostomy are both suggested as symptomatic treatment of stridor, but whether they improve survival is uncertain. Several research gaps emerged involving diagnosis, prognosis, and treatment. Unmet needs for research were identified.
Identifiants
pubmed: 31570638
pii: 93/14/630
doi: 10.1212/WNL.0000000000008208
pmc: PMC6814413
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
630-639Subventions
Organisme : NINDS NIH HHS
ID : U54 NS065736
Pays : United States
Informations de copyright
Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.
Références
Neurology. 2016 Sep 27;87(13):1375-83
pubmed: 27566741
Neuroepidemiology. 2016;46(4):261-7
pubmed: 26974556
Parkinsonism Relat Disord. 2016 Oct;31:104-109
pubmed: 27510647
Arch Neurol. 2007 Jun;64(6):856-61
pubmed: 17562934
Lancet. 2000 Oct 14;356(9238):1329-30
pubmed: 11073029
Intern Med. 2007;46(12):921
pubmed: 17575393
Ann Otol Rhinol Laryngol. 1997 May;106(5):380-4
pubmed: 9153101
Acta Otorhinolaryngol Ital. 2004 Apr;24(2):68-74
pubmed: 15468994
Arch Otolaryngol Head Neck Surg. 2002 Dec;128(12):1404-7
pubmed: 12479729
J Clin Sleep Med. 2012 Dec 15;8(6):713-5
pubmed: 23243406
BMC Med Res Methodol. 2011 Jun 17;11:92
pubmed: 21682870
J Neurol Sci. 2006 Aug 15;247(1):53-8
pubmed: 16647088
BMJ Case Rep. 2015 May 04;2015:
pubmed: 25939970
Auris Nasus Larynx. 2006 Sep;33(3):295-8
pubmed: 16406427
J Neurol Neurosurg Psychiatry. 1979 Feb;42(2):151-3
pubmed: 422962
Neurology. 2008 Aug 26;71(9):670-6
pubmed: 18725592
Sleep. 1996 Jul;19(6):479-84
pubmed: 8865505
Mov Disord. 2007 Apr 15;22(5):673-8
pubmed: 17266093
Sleep. 1990 Aug;13(4):362-8
pubmed: 2267479
Mov Disord. 2000 Jul;15(4):699-704
pubmed: 10928581
J Neurol Sci. 2016 Feb 15;361:243-9
pubmed: 26810550
Curr Treat Options Neurol. 2007 Sep;9(5):347-53
pubmed: 17716598
J Neurol Neurosurg Psychiatry. 1996 Apr;60(4):399-402
pubmed: 8774404
Eur J Neurol. 1996 May;3(3):186-90
pubmed: 21284768
J Physiol. 2001 Oct 1;536(Pt 1):237-49
pubmed: 11579172
Sleep Med. 2004 Jan;5(1):21-30
pubmed: 14725823
Rev Neurol (Paris). 2007 Jan;163(1):54-65
pubmed: 17304173
J Neurol Neurosurg Psychiatry. 2005 Dec;76(12):1739-41
pubmed: 15946984
Eur Neurol. 2006;56(4):258-60
pubmed: 17077639
Laryngoscope. 2014 Mar;124(3):730-5
pubmed: 24114946
Sleep Med. 2005 Jul;6(4):359-62
pubmed: 15978519
Neurology. 2004 Sep 14;63(5):930-2
pubmed: 15365155
Mov Disord Clin Pract. 2014 Jun 1;1(2):89-96
pubmed: 24955381
Mov Disord. 2014 Aug;29(9):1151-7
pubmed: 24909319
Ann Otol Rhinol Laryngol. 1983 Jan-Feb;92(1 Pt 1):85-90
pubmed: 6824289
Brain. 2015 Dec;138(Pt 12):3623-31
pubmed: 26369944
Semin Arthritis Rheum. 2011 Oct;41(2):95-105
pubmed: 21420149
PLoS One. 2016 Apr 19;11(4):e0153935
pubmed: 27093692
Neurology. 2002 Feb 26;58(4):649-52
pubmed: 11865150
Mov Disord. 2009 Nov 15;24(15):2272-6
pubmed: 19845011
N Engl J Med. 2015 Jan 15;372(3):249-63
pubmed: 25587949
Braz J Otorhinolaryngol. 2016 Jan-Feb;82(1):116-20
pubmed: 26411269
J Neurol Neurosurg Psychiatry. 2017 May;88(5):402-411
pubmed: 28250027
Brain. 1994 Aug;117 ( Pt 4):835-45
pubmed: 7922469
BMJ. 2009 Jul 21;339:b2535
pubmed: 19622551
Dtsch Med Wochenschr. 1969 Jun 13;94(24):1286-90
pubmed: 5771076
Eur Neurol. 2003;49(3):154-9
pubmed: 12646759
Am J Otolaryngol. 1997 Mar-Apr;18(2):145-7
pubmed: 9074743
Arch Neurol. 2007 Feb;64(2):256-60
pubmed: 17296842
Mov Disord. 2008 Jun 15;23(8):1093-9
pubmed: 18442131