Annals of Indian Academy of Neurology
CASE REPORT
Year
: 2013  |  Volume : 16  |  Issue : 3  |  Page : 409--410

Adductor laryngeal breathing dystonia in NBIA treated with botulinum toxin-A


Vinod Rai1, Vinay Goyal1, Garima Shukla1, Girija Rath2, Madhuri Behari1 
1 Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
2 Department of Neuroanaesthesia, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Vinay Goyal
Department of Neurology, All India Institute of Medical Sciences, New Delhi
India

We report a rare case of neurodegeneration with brain iron accumulation (NBIA) presented with episodic inspiratory stridor. A 10-year-old boy presented with 3-year history of gradually progressive spastic gait and generalized dystonia (involving all four limbs, neck, jaw, and speech). MRI brain showed DQEye of TigerDQ sign. He recently developed severe inspiratory stridor associated with almost gasping respiration. Direct video laryngoscopy showed paradoxical vocal cord closure during inspiration. He was treated with EMG-guided botulinum toxin-A injection given into bilateral thyroarytenoid muscles, resulting in dramatic response with complete disappearance of the stridor within a week. The effect lasted 18 months.


How to cite this article:
Rai V, Goyal V, Shukla G, Rath G, Behari M. Adductor laryngeal breathing dystonia in NBIA treated with botulinum toxin-A.Ann Indian Acad Neurol 2013;16:409-410


How to cite this URL:
Rai V, Goyal V, Shukla G, Rath G, Behari M. Adductor laryngeal breathing dystonia in NBIA treated with botulinum toxin-A. Ann Indian Acad Neurol [serial online] 2013 [cited 2021 Jan 18 ];16:409-410
Available from: https://www.annalsofian.org/article.asp?issn=0972-2327;year=2013;volume=16;issue=3;spage=409;epage=410;aulast=Rai;type=0