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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 52-Year-Old Man With Daytime Sleepiness, Sialorrhea, and Facial Fasciculations*

Abhilasha Ahuja, MBBS; Dipti Gothi, MD; Jyotsna M. Joshi, MD
Author and Funding Information

*From the Department of Respiratory Medicine, T.N. Medical College, BYL Nair Hospital, Mumbai, India.

Correspondence to: Jyotsna M. Joshi, MD, Professor and Head, Department of Respiratory Medicine, BYL Nair Hospital, Mumbai 400 008, India; e-mail drjoshijm@email.com



Chest. 2006;130(1):287-290. doi:10.1378/chest.130.1.287
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Extract

A 52-year-old, nonsmoking man was referred for evaluation of excessive daytime sleepiness, snoring, nonrefreshing sleep, and abnormal limb movements during sleep over the past 6 months. He also complained of dysphagia, dysarthria, and sialorrhea for the last 8 months. He had no other systemic complaints.

1Arnulf, I, Similowski, T, Salaches, F, et al (2000) Sleep disorders and diaphragmatic function in patients with amyotrophic lateral sclerosis.Am J Respir Crit Care Med161,849-8562Bourke, SC, Gibson, GJ Sleep and breathing in neuromuscular disease.Eur Respir J2002;19,1194-12013Carre, PC, Didier, AP, Tiberge, YM, et al Amyotrophic lateral sclerosis presenting with sleep hypopnea syndrome.Chest1988;93,1309-13124Ertekin, C, Aydogdu, I, Yuceyar, N, et al Pathophysiological mechanisms of oropharyngeal dysphagia in amyotrophic lateral sclerosis.Brain2000;123,125-1405Ferguson, KA, Strong, MJ, Ahmed, D, et al Sleep-disordered breathing in amyotrophic lateral sclerosis.Chest1996;110,664-6696Howard, RS, Wiles, CM, Loh, L Respiratory complications and their management in motor neuron disease.Brain1989;112,1155-11707Kimura, K, Tachibana, N, Kimura, J, et al Sleep-disordered breathing at an early stage of amyotrophic lateral sclerosis.J Neurol Sci1999;164,37-438Leigh, PN, Abrahams, S, Al-Chalabi, A, et al The management of motor neuron disease.J Neurol Neurosurg Psychiatry2003;74,32-479Mazzini L, Pastore I, Balzarini C. Ventilation and nutrition in ALS. Available at: www.famigliesma.org/pdf/mazzini_abstract.PDF. Accessed October 28, 200510Newsom-Davis, IC, Lyall, RA, Leigh, PN, et al The effect of non-invasive positive pressure ventilation on cognitive function in amyotrophic lateral sclerosis: a prospective study.J Neurol Neurosurg Psychiatry2001;71,482-487

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