• Am. J. Crit. Care · Mar 2012

    Case Reports

    Complications after cardiovascular surgery in a case of undiagnosed spinal-bulbar muscular atrophy (Kennedy disease).

    • Stacey A Skoretz, May-Sann Yee, and Rosemary Martino.
    • Department of Speech-Language Pathology,University of Toronto, Ontario, Canada. stacey.skoretz@utoronto.ca
    • Am. J. Crit. Care. 2012 Mar 1;21(2):139-8.

    AbstractNeurodegenerative diseases are often associated with life-threatening declines in respiratory and swallowing mechanisms. We report the case of a 70-year-old man who had postoperative dysphagia and respiratory failure that required reintubation after coronary artery bypass surgery. Impairment of the patient's speech, swallowing, and respiratory mechanisms identified during postoperative clinical and instrumental examinations was suggestive of a neurodegenerative disease. Genetic testing confirmed a diagnosis of spinal-bulbar muscular atrophy (Kennedy disease). This case report aims to highlight increased morbidity in patients with undiagnosed neuromuscular disorders in the critical care setting and the benefits of vigilant postoperative monitoring and multidisciplinary involvement throughout the care of complex patients.

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