FW: BoTox for snoring?

[Guest guest]

New to this group.

here. (my wife) has had MSA

for about 6 years. (the variety

seems to depends on who you talk to). She is in a wheel chair, has great difficulty talking,

especially with volume, and can barely transfer between the chair and the bed

or toilet any longer.

Over the last 6 months, her snoring (on the inhale and in her

throat,) has gotten louder and louder, to the point that I can no longer sleep

in the same room, even wearing industrial strength wax ear plugs. It resounds through the entire

house. A sleep test said it was

not sleep apnea, but rather a problem with the vocal cords. Then sent to an Ear, Nose Throat

person, who did an EMG of the nerves in the muscles of the vocal chords. They are suggesting that a BoTox injection

in the vocal chord muscles may help.

Any tales, good or bad of this procedure?

Thanks in advance.

[Guest guest]

Welcome , Did they say exactly what the problem with the vocal cords

is? You'll find mention in many articles about MSA of vocal cord paralysis

also sometimes called vocal cord abductor paralysis. I've read recent

research that says the inspiratory stridor (sound made on breathing in) is

not due to paralysis but actually due to dystonia of the vocal cords and the

conclusion was that Botox might indeed help.

Regards,

Pam

Neurology 2002 Feb 26;58(4):649-52

Not paralysis, but dystonia causes stridor in multiple system atrophy.

Merlo IM, Occhini A, Pacchetti C, Alfonsi E.

Spinal and Cranial Reflexes Laboratory, Istituto Neurologico C. Mondino

I.R.C.C.S., Universita di Pavia, Italy.

Electromyography (EMG) was performed in 10 patients with multiple system

atrophy, laryngeal or pharyngeal symptoms, or both. In patients with

stridor, EMG during quiet breathing revealed persistent tonic activity in

both abductor and adductor vocal cord muscles. In patients with dysphagia,

the cricopharyngeal muscle showed persistent EMG activity throughout all

phases of swallowing. Botulinum toxin injection into the adductor muscle

determined subjective improvement and reduced tonic EMG activity. Therefore,

the cause of stridor in multiple system atrophy is dystonia of the vocal

cords.

PMID: 11865150 [PubMed - indexed for MEDLINE]

FW: BoTox for " snoring? "

> New to this group. here. (my wife) has had MSA for about 6

> years. (the variety seems to depends on who you talk to). She is in a

> wheel chair, has great difficulty talking, especially with volume, and can

> barely transfer between the chair and the bed or toilet any longer.

>

> Over the last 6 months, her snoring (on the inhale and in her throat,) has

> gotten louder and louder, to the point that I can no longer sleep in the

> same room, even wearing industrial strength wax ear plugs. It resounds

> through the entire house. A sleep test said it was not sleep apnea, but

> rather a problem with the vocal cords. Then sent to an Ear, Nose Throat

> person, who did an EMG of the nerves in the muscles of the vocal chords.

> They are suggesting that a BoTox injection in the vocal chord muscles may

> help.

>

> Any tales, good or bad of this procedure?

>

> Thanks in advance.

>

>

>

>

>