Acute Respiratory Failure as Initial Presentation of Amyotrophic Lateral Sclerosis Onset
Amyotrophic lateral sclerosis (ALS) is a progressive, unrelenting and presently incurable neurodegenerative disorder. Respiratory muscle involvement is often a late complication of ALS. Only 1–3% of patients with ALS presenting to a tertiary care center had respiratory symptoms as their initial clin...
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| Format: | Article |
| Language: | English |
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Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2008-06-01
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| Series: | International Journal of Gerontology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1873959808700140 |
| _version_ | 1828883481729433600 |
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| author | Chien-Tsun Chou Chun-Hao Lin Wai-Mau Choi |
| author_facet | Chien-Tsun Chou Chun-Hao Lin Wai-Mau Choi |
| author_sort | Chien-Tsun Chou |
| collection | DOAJ |
| description | Amyotrophic lateral sclerosis (ALS) is a progressive, unrelenting and presently incurable neurodegenerative disorder. Respiratory muscle involvement is often a late complication of ALS. Only 1–3% of patients with ALS presenting to a tertiary care center had respiratory symptoms as their initial clinical symptom. In addition, only 14% of these individuals presented acutely and required emergency intubation. We report a 75-year-old female whose initial presentation at our emergency department was dyspnea. Dyspnea worsened and progressed to acute respiratory failure. There was no definite cause of respiratory failure found initially. However, ALS was diagnosed after physical and neurologic examination and electrodiagnostic studies. Respiratory muscle weakness was her first presentation of ALS. |
| first_indexed | 2024-12-13T10:49:24Z |
| format | Article |
| id | doaj.art-c2c47872653c4d87ba703ee5a74d9094 |
| institution | Directory Open Access Journal |
| issn | 1873-9598 |
| language | English |
| last_indexed | 2024-12-13T10:49:24Z |
| publishDate | 2008-06-01 |
| publisher | Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) |
| record_format | Article |
| series | International Journal of Gerontology |
| spelling | doaj.art-c2c47872653c4d87ba703ee5a74d90942022-12-21T23:49:56ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982008-06-0122727510.1016/S1873-9598(08)70014-0Acute Respiratory Failure as Initial Presentation of Amyotrophic Lateral Sclerosis OnsetChien-Tsun Chou0Chun-Hao Lin1Wai-Mau Choi2Department of Emergency Medicine, Hsinchu Branch, TaiwanDepartment of Neurology, Mackay Memorial Hospital, Hsinchu Branch, TaiwanDepartment of Emergency Medicine, Hsinchu Branch, TaiwanAmyotrophic lateral sclerosis (ALS) is a progressive, unrelenting and presently incurable neurodegenerative disorder. Respiratory muscle involvement is often a late complication of ALS. Only 1–3% of patients with ALS presenting to a tertiary care center had respiratory symptoms as their initial clinical symptom. In addition, only 14% of these individuals presented acutely and required emergency intubation. We report a 75-year-old female whose initial presentation at our emergency department was dyspnea. Dyspnea worsened and progressed to acute respiratory failure. There was no definite cause of respiratory failure found initially. However, ALS was diagnosed after physical and neurologic examination and electrodiagnostic studies. Respiratory muscle weakness was her first presentation of ALS.http://www.sciencedirect.com/science/article/pii/S1873959808700140amyotrophic lateral sclerosisrespiratory failure |
| spellingShingle | Chien-Tsun Chou Chun-Hao Lin Wai-Mau Choi Acute Respiratory Failure as Initial Presentation of Amyotrophic Lateral Sclerosis Onset International Journal of Gerontology amyotrophic lateral sclerosis respiratory failure |
| title | Acute Respiratory Failure as Initial Presentation of Amyotrophic Lateral Sclerosis Onset |
| title_full | Acute Respiratory Failure as Initial Presentation of Amyotrophic Lateral Sclerosis Onset |
| title_fullStr | Acute Respiratory Failure as Initial Presentation of Amyotrophic Lateral Sclerosis Onset |
| title_full_unstemmed | Acute Respiratory Failure as Initial Presentation of Amyotrophic Lateral Sclerosis Onset |
| title_short | Acute Respiratory Failure as Initial Presentation of Amyotrophic Lateral Sclerosis Onset |
| title_sort | acute respiratory failure as initial presentation of amyotrophic lateral sclerosis onset |
| topic | amyotrophic lateral sclerosis respiratory failure |
| url | http://www.sciencedirect.com/science/article/pii/S1873959808700140 |
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