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Related Concept Videos

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Author Spotlight: Evaluating the Therapeutic Efficacy of Moving Cupping Along Meridians for Acute Exacerbation of COPD
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[Chronic Cough in CANVAS].

Hiroshi Doi1, Fumiaki Tanaka

  • 1Department of Neurology and Stroke Medicine, Yokohama City University Graduate School of Medicine.

Brain and Nerve = Shinkei Kenkyu No Shinpo
|November 7, 2022
PubMed
Summary
This summary is machine-generated.

Chronic cough is a key symptom in RFC1 spectrum disorders, affecting at least 60% of patients with cerebellar ataxia with neuropathy and vestibular areflexia syndrome (CANVAS). This cough can precede neurological symptoms by decades, highlighting its diagnostic importance.

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Area of Science:

  • Neurology
  • Genetics
  • Pulmonology

Context:

  • RFC1 spectrum disorders present with diverse phenotypes, including cerebellar ataxia with neuropathy and vestibular areflexia syndrome (CANVAS).
  • Chronic cough is a prominent and often early symptom in these disorders.

Purpose:

  • To highlight chronic cough as a significant diagnostic feature of RFC1 spectrum disorders.
  • To discuss the potential role of the vagus nerve and cerebellum in cough generation within this patient group.

Summary:

  • At least 60% of patients with RFC1 spectrum disorders, specifically CANVAS, experience chronic, paroxysmal, spasmodic dry cough.
  • This cough frequently serves as the initial presenting symptom, sometimes appearing over 30 years before other neurological signs like ataxia.
  • The exact cause of the cough is unknown but may involve dysfunction of the vagus nerve's afferent pathway or cerebellar involvement.

Impact:

  • Elevates the recognition of chronic cough as a critical early indicator for RFC1-related conditions.
  • Suggests potential diagnostic and research avenues focusing on the neurological underpinnings of cough in these disorders.