Abstract
X-linked spinobulbar muscular atrophy (Kennedy’s disease) affects muscles and motor neurons, manifesting as weakness and wasting of bulbar, facial, and proximal limb muscles due to loss of anterior horn cells in the brain and spinal cord. We present the case of a patient with X-linked spinobulbar muscular atrophy with rapidly worsening bulbar symptoms caused by laryngopharyngeal irritation associated with a viral upper respiratory tract infection, seasonal allergies and laryngopharyngeal reflux, who dramatically improved with multimodality therapy.
Highlights
(Kennedy’s disease) affects muscles and motor neurons, manifesting as weakness and wasting of bulbar, facial, and proximal limb muscles due ly to loss of anterior horn cells in the brain and n spinal cord
At age 54 the patient reported new hoarseness and mild dysphagia which slowly worsened over the year
The patient returned for an urgent visit, 3 months later, during allergy season
Summary
(Kennedy’s disease) affects muscles and motor neurons, manifesting as weakness and wasting of bulbar, facial, and proximal limb muscles due ly to loss of anterior horn cells in the brain and n spinal cord. The patient continued to be seen in clinic on an annual basis, with slowly progressive disease with increasing difficulty climbing stairs and squatting.
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