Difícil manejo do paciente com distonia segmentar respiratória

Respiratory dystonia is a rare and difficult to diagnose disorder, that causes breathing restriction of various degrees. The objective of the study is to report the case of a patient with respiratory dystonia involving the larynx and the pharynx and its evolution concerning spasms intensity and cont...

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Detalles Bibliográficos
Autores: De Biase, Noemi Grigoletto [UNIFESP], Pontes, Paulo Augusto de Lima [UNIFESP], Santos Junior, Vanier, Vieira, Vanessa Pedrosa [UNIFESP], Zambonato, Priscila [UNIFESP], Yazaki, Reinaldo Kazuo [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2007
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/3629
Acceso en línea:http://dx.doi.org/10.1590/S0034-72992007000200021
http://repositorio.unifesp.br/handle/11600/3629
Access Level:acceso abierto
Palabra clave:dyspnea
segmental dystonia
pharynx
larynx
respiration
dispnéia
distonia segmentar
faringe
laringe
respiração
Descripción
Sumario:Respiratory dystonia is a rare and difficult to diagnose disorder, that causes breathing restriction of various degrees. The objective of the study is to report the case of a patient with respiratory dystonia involving the larynx and the pharynx and its evolution concerning spasms intensity and control. CASE REPORT: A 24 year-old-man has been followed for 5 years. The diagnosis was made by means of nasofibroscopy and electromyography. Treatment was carried out with laryngeal and pharyngeal Botulin toxin injections, as it became necessary for symptoms control. CONCLUSION: The difficult management can be secondary to the lack of knowledge on the etiology and physiopathology of the impairment, and because of the limitations in the treatment of associated respiratory symptoms.