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August 1981

Bilateral Vocal Cord Paralysis in a Patient With Familial Hypertrophic Neuropathy

Author Affiliations

From the Department of Neurology, The University of Arizona College of Medicine, Tucson.

Arch Neurol. 1981;38(8):532. doi:10.1001/archneur.1981.00510080094018

The etiology of vocal cord paralysis (VCP) can be divided into several categories: congenital, traumatic, neoplastic, neurologic, and idiopathic. The neurologic causes can be separated into central and peripheral categories. The former include such varied disorders as stroke, poliomyelitis, parkinsonism, and multiple sclerosis.1 The peripheral causes include toxic, inflammatory, and granulomatous neuropathies. There has been only one previous report of an inherited polyneuropathy associated with VCP. We report the occurrence of bilateral VCP in a patient with Déjérine-Sottas disease.

REPORT OF A CASE  A 38-year-old man with progressive muscle weakness and sensory loss since age 18 months was referred to the Mucio F. Delgado Clinic for Neuromuscular Disorders, Tucson, because of dyspnea. The patient had been well until age 18 months, when weakness and numbness in his extremities were first noted. By age 12 years he required the use of a wheelchair. A hamstring muscle biopsy had been

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