A CASE OF SPINAL AND BULBAR MUSCULAR ATROPHY THAT PRESENTED WITH LARYNGOSPASM

Abstract

　The patient was a 49-year-old man who was transported to a general hospital with breathing difficulty of acute onset. Laryngoscopic examination showed spasmic movements of pharynx and limitation of the glottic opening. We suspected central neurological disorder,and referred the patient to the Department of Neurology. Examination at this department revealed fasciculation of the chin, gynecomastia, and atrophy of the tongue and plantar muscles. These findings led to the suspicion of Spinal and Bulbar Muscular Atrophy (SBMA), and subsequent physiological and genetic tests confirmed the definitive diagnosis of SBMA.

　We report the case of a patent with Spinal and Bulbar Muscular Atrophy who presented with laryngospasm, with a review of the literature.