. "bilateral laryngeal recurrent nerve palsy; amyotrophic lateral sclerosis; sudden dyspnea"@en . . "[1BD2CF40D62D]" . . "000289604900014" . "Matou\u0161ek, Petr" . "V" . "4"^^ . . . "214654" . "Auto\u0159i prezentuj\u00ED p\u0159\u00EDpad 67let\u00E9ho pacienta s amyotrofickou later\u00E1ln\u00ED skler\u00F3zou, kter\u00E1 se manifestovala n\u00E1hle vzniklou du\u0161nost\u00ED, zp\u016Fsobenou oboustrannou par\u00E9zou hlasivek. Tento stav si vy\u017E\u00E1dal akutn\u00ED zaji\u0161t\u011Bn\u00ED d\u00FDchac\u00EDch cest intubac\u00ED a tracheostomi\u00ED. Porucha hybnosti hlasivek se m\u016F\u017Ee objevit u pacient\u016F v r\u016Fzn\u00FDch stadi\u00EDch amyotrofick\u00E9 later\u00E1ln\u00ED skler\u00F3zy, ale i u jin\u00FDch neurologick\u00FDch onemocn\u011Bn\u00ED. Relativn\u011B \u010Dasto jsou u t\u011Bchto pacient\u016F p\u0159\u00EDtomny m\u00EDrn\u00E9 p\u0159\u00EDznaky posti\u017Een\u00ED hrtanu (chrapot, hlasov\u00E1 slabost), p\u0159i obvykle t\u011B\u017Ek\u00E9m celkov\u00E9m stavu pacient\u016F jim v\u0161ak \u010Dasto nen\u00ED v\u011Bnov\u00E1na pozornost. N\u00E1hle vznikl\u00E1 oboustrann\u00E1 par\u00E9za hlasivek p\u0159i amyotrofick\u00E9 later\u00E1ln\u00ED skler\u00F3ze je v literatu\u0159e uv\u00E1d\u011Bna vz\u00E1cn\u011B, pokud v\u0161ak vznikne, m\u016F\u017Ee se projevit akutn\u00ED dechovou t\u00EDsn\u00ED a b\u00FDt p\u0159\u00ED\u010Dinou n\u00E1hl\u00E9 smrti u pacient\u016F s t\u00EDmto onemocn\u011Bn\u00EDm."@cs . . "1210-7859" . . "N\u00E1hle vznikl\u00E1 du\u0161nost jako p\u0159\u00EDznak vedouc\u00ED k diagn\u00F3ze amyotrofick\u00E9 later\u00E1ln\u00ED skler\u00F3zy - kazuistika"@cs . . "Kom\u00EDnek, Pavel" . "RIV/00843989:_____/11:00101931" . "Auto\u0159i prezentuj\u00ED p\u0159\u00EDpad 67let\u00E9ho pacienta s amyotrofickou later\u00E1ln\u00ED skler\u00F3zou, kter\u00E1 se manifestovala n\u00E1hle vzniklou du\u0161nost\u00ED, zp\u016Fsobenou oboustrannou par\u00E9zou hlasivek. Tento stav si vy\u017E\u00E1dal akutn\u00ED zaji\u0161t\u011Bn\u00ED d\u00FDchac\u00EDch cest intubac\u00ED a tracheostomi\u00ED. Porucha hybnosti hlasivek se m\u016F\u017Ee objevit u pacient\u016F v r\u016Fzn\u00FDch stadi\u00EDch amyotrofick\u00E9 later\u00E1ln\u00ED skler\u00F3zy, ale i u jin\u00FDch neurologick\u00FDch onemocn\u011Bn\u00ED. Relativn\u011B \u010Dasto jsou u t\u011Bchto pacient\u016F p\u0159\u00EDtomny m\u00EDrn\u00E9 p\u0159\u00EDznaky posti\u017Een\u00ED hrtanu (chrapot, hlasov\u00E1 slabost), p\u0159i obvykle t\u011B\u017Ek\u00E9m celkov\u00E9m stavu pacient\u016F jim v\u0161ak \u010Dasto nen\u00ED v\u011Bnov\u00E1na pozornost. N\u00E1hle vznikl\u00E1 oboustrann\u00E1 par\u00E9za hlasivek p\u0159i amyotrofick\u00E9 later\u00E1ln\u00ED skler\u00F3ze je v literatu\u0159e uv\u00E1d\u011Bna vz\u00E1cn\u011B, pokud v\u0161ak vznikne, m\u016F\u017Ee se projevit akutn\u00ED dechovou t\u00EDsn\u00ED a b\u00FDt p\u0159\u00ED\u010Dinou n\u00E1hl\u00E9 smrti u pacient\u016F s t\u00EDmto onemocn\u011Bn\u00EDm." . "74/107" . "The authors present the case of 67-year old male patient with amyotrophic lateral sclerosis, which was primarily manifested as dysphagia and bilateral laryngeal recurrent nerve palsy with sudden dyspnoea. This situation required acute management of the airways intubation and tracheotomy. Vocal cord dysfunction can appear at various stages of amyotrophic lateral sclerosis and as part of other neurological diseases as well. Mild symptoms of unilateral laryngeal affection (dysphonia, voice weakness) occur quite frequently, but are usually passed over because of the severe general condition of the patient. Sudden onset of bilateral vocal cord palsy in patients with amyotrophic lateral sclerosis has been mentioned only rarely in the literature. When it develops, it can manifest as sudden dyspnoea and it may lead to sudden death in patients with this disease."@en . "Sudden dyspnoea as a first symptom leading to a diagnosis of amyotrophic lateral sclerosis - a case report"@en . "N\u00E1hle vznikl\u00E1 du\u0161nost jako p\u0159\u00EDznak vedouc\u00ED k diagn\u00F3ze amyotrofick\u00E9 later\u00E1ln\u00ED skler\u00F3zy - kazuistika" . . "RIV/00843989:_____/11:00101931!RIV12-MZ0-00843989" . . . . "Vl\u010Dek, Franti\u0161ek" . "Sudden dyspnoea as a first symptom leading to a diagnosis of amyotrophic lateral sclerosis - a case report"@en . "N\u00E1hle vznikl\u00E1 du\u0161nost jako p\u0159\u00EDznak vedouc\u00ED k diagn\u00F3ze amyotrofick\u00E9 later\u00E1ln\u00ED skler\u00F3zy - kazuistika"@cs . . . . "2" . . "Men\u0161\u00EDkov\u00E1, Andrea" . . "Bar, Michal" . "N\u00E1hle vznikl\u00E1 du\u0161nost jako p\u0159\u00EDznak vedouc\u00ED k diagn\u00F3ze amyotrofick\u00E9 later\u00E1ln\u00ED skler\u00F3zy - kazuistika" . "6"^^ . . . "\u010Cesk\u00E1 a slovensk\u00E1 neurologie a neurochirurgie" . "6"^^ . . "CZ - \u010Cesk\u00E1 republika" . "Zelen\u00EDk, Karol" .