Acta Neurol Belg (2017) 117:789–790 DOI 10.1007/s13760-017-0756-0 LETTER TO THE EDITOR Myogenic abnormalities in intensive care can hide an uncommon diagnosis 1 2 3 1 • • • Fre ´de ´ric London Youne `s Benzidi Patrick Vermersch Ce ´line Tard Received: 19 May 2016 / Accepted: 26 January 2017 / Published online: 7 February 2017 Belgian Neurological Society 2017 Keywords Oculopharyngeal muscular dystrophy Ptosis Case report Dysphagia Dyspnea A 60-year-old woman was admitted to intensive care unit because of acute aspiration pneumonia complicated of Introduction acute respiratory failure, requiring intubation and mechanical ventilation. Despite favourable response to Diagnosis of muscle disorders is often challenging and antibiotics, she was difﬁcult to wean from mechanical requires a meticulous comprehensive work-up. We ventilation, resulting in 3 weeks hospitalization in inten- describe a case of rapidly progressive oculopharyngeal sive care. Since she has reported daily alcohol and nicotine muscular dystrophy (OPMD) misdiagnosed as critical ill- abuse over years, the possibility of malignancy process was ness myopathy (CIM) due to the aspeciﬁc nature of its considered but cervical and chest computed tomography, main symptoms. Through this report we aim to highlight oesophageal gastroscopy and laryngoscopy ruled it out. the importance of
Acta Neurologica Belgica – Springer Journals
Published: Feb 7, 2017
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