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Journal of the Korean Academy of Rehabilitation Medicine 2002;26(1):94-98.
Multiple System Atrophy Overlaps Stroke: A case report.
Lee, Jeong eun , Cheong, Jee young , Lee, Sang jee , Shin, Hye Sung , Yoon, Tea sik
Department of Rehabilitation Medicine, Ewha Womans University College of Medicine, Seoul, Korea, Korea. ipray@hosanna.net
뇌졸중을 동반한 다계통 위축증 ⁣증례 보고⁣
이정은, 정지영, 이상지, 신혜성, 윤태식
이화여자대학교 의과대학 재활의학교실

Multiple system atrophy (MSA) is an idiopathic neurodegenerative disorder involving many neuronal structures. It is a heterogeneous system disorder affecting extrapyramidal, cerebellar and autonomic nervous system. Only a minority of MSA patients are diagnosed before reaching the full blown stage. Its autonomic features like orthostatic hypotension, vocal cord paralysis are directly related to mortality.

Up to now, rehabilitation of MSA patients had been rarely reported. Early, proper diagnosis and comprehensive rehabilitation for their heterogeneous clinical features are important. We experienced 54 year old hemiplegic paient who overlaps MSA. He showed some improvement in ADL and cerebellar symptoms after comprehensive rehabilitation programs. (J Korean Acad Rehab Med 2002; 26: 94-98)

Key Words: Vocal cord paralysis, Multiple system atrophy, Vocal cord paralysis, Comprehensive rehabilitation


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