Source: gpointstudio
In May 2026, the Mayo Clinic published a 22-minute video for healthcare professionals titled “Stridor and Struggles: Sleep in Multiple System Atrophy (MSA). The focus is on stridor, which the co-hosts describe as a sleep symptom specific to MSA. Stridor occurs in about 40 percent of those with MSA, and is generally a “strangling” sound heard upon inspiration. The co-hosts encourage families to make recordings during sleep and bring these recordings into the clinic for the neurologist or sleep specialist to hear. For me, the two most interesting sections were on the mechanisms of stridor (timestamp 7:17) and when to consider a tracheostomy (11:05).
Here’s a breakdown of the video (from the YouTube description):
00:00 Introduction
00:42 Podcast Title and Overview of MSA
01:02 What Is Multiple System Atrophy?
04:20 Sleep-Related Respiratory Disorders in MSA
05:38 What Is Stridor and How Common Is It?
06:00 How Is Stridor Diagnosed?
07:17 Mechanisms of Stridor in MSA
09:06 Prognostic Significance of Stridor and Sleep Apnea
11:05 When to Consider Tracheostomy
13:47 Sleep-Related Motor Symptoms in MSA
15:29 Emergency Scenarios for Stridor
17:06 Pure Autonomic Failure and Its Relationship to MSA
20:50 Key Takeaways for Sleep Specialists
00:42 Podcast Title and Overview of MSA
01:02 What Is Multiple System Atrophy?
04:20 Sleep-Related Respiratory Disorders in MSA
05:38 What Is Stridor and How Common Is It?
06:00 How Is Stridor Diagnosed?
07:17 Mechanisms of Stridor in MSA
09:06 Prognostic Significance of Stridor and Sleep Apnea
11:05 When to Consider Tracheostomy
13:47 Sleep-Related Motor Symptoms in MSA
15:29 Emergency Scenarios for Stridor
17:06 Pure Autonomic Failure and Its Relationship to MSA
20:50 Key Takeaways for Sleep Specialists
This podcast is part of the Mayo Clinic’s “Sleep Medicine Podcast” for healthcare professionals about different sleep problems.
Robin
BSN CEO and Founder
BSN CEO and Founder