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February 1982

Dysarthria due to Loss of Voluntary Respiration

Author Affiliations

Department of Neurology Kyushu-Kosei-Nenkin Hospital Kitakyushu, Fukuoka, Japan

Arch Neurol. 1982;39(2):132. doi:10.1001/archneur.1982.00510140066022

To the Editor.—  The failure of voluntary respiration with preservation of automatic respiratory function is rare. Newsom Davis1 described such a patient with acute demyelination. Dysarthria was present in his patient, but was not described in detail. We studied a case of dysarthria due to loss of voluntary respiration in a patient with multiple sclerosis

Report of a Case.—  A 32-year-old woman showed development of bilateral diminution of visual acuity with remission in 1975. There were several exacerbations and remissions of visual loss and paraparesis during the following four years. She became disabled and bedridden, but was not quadriplegic.On May 8, 1980, quadriplegia developed. The patient was alert and oriented. The neck and four limbs were completely paralyzed. The bulbar muscles were not involved. Spontaneous respiration was regular and 22/min. No artificial respiration was necessary, but she could neither take a voluntary breath nor stop breathing. Her voice