Stridor: Causes & Reasons

Possible Causes for Stridor

Bilateral Recurrent Laryngeal Nerve Paralysis

In the pediatric population, hypocalcaemia constitutes an important cause for stridor and respiratory distress due to laryngospasm. (5) There are several reports on stridor [signavitae.com]

Child may present with stridor, weak cry, cyanosis, or difficulty in feeding. [intechopen.com]

This is a case of postextubation stridor following subtotal thyroidectomy due to bilateral RLN damage and its management. [ncbi.nlm.nih.gov]

Angioedema

Edema of the upper airways may cause respiratory distress and stridor; the stridor may be mistaken for asthma. The airways may be completely obstructed. [msdmanuals.com]

Hydromorphone was administered with subsequent rapid development of stridor and edematous changes of the tongue, uvula, and surrounding mucosa. [ncbi.nlm.nih.gov]

If airway compromise is suspected (stridor, wheezing, diminished air movement) or the patient is in shock, treat immediately with IM epinephrine, start oxygen and IV fluids [amboss.com]

Thyroid Lymphoma

We report the case of 71 year old woman who presented with severe inspiratory stridor due to a compressing primary thyroid lymphoma. [ncbi.nlm.nih.gov]

All patients presented with an anterior neck mass while four (44.4%) presented with stridor and vocal cord palsy. [ncbi.nlm.nih.gov]

Immunopositivity for CD20 Click here to view Primary thyroid lymphoma are predominantly seen in middle and older age females, presents with rapidly growing mass, dysphagia, stridor [cancerjournal.net]

Spasmodic Croup

(For common causes of stridor, see the box below.) What causes stridor? [americannursetoday.com]

Our results show that stridor in this patient was due to dynamic inspiratory constriction of the vocal cords. [ncbi.nlm.nih.gov]

The primary distinction: stridor is a sign of airway obstruction, whereas croup is a syndrome that can cause stridor. [americannursetoday.com]

Laryngospasm

[L. a harsh, creaking sound] stridor (strī´dôr), n a peculiar, harsh, vibrating sound produced during respiration. stridor, inspiratory, n the stridor heard in inspiration [medical-dictionary.thefreedictionary.com]

Schwartz,3 who gave an excellent historical survey, advocated replacing "congenital laryngeal stridor" by "inspiratory laryngeal collapse." [jamanetwork.com]

Two patients with laryngeal stridor secondary to myasthenia gravis are reported. [ncbi.nlm.nih.gov]

Acute Laryngitis and/or Tracheitis

The child then develops the characteristic “barking” cough, hoarseness, and inspiratory stridor. [clinicalgate.com]

[…] on inhalation, aka inspiratory stridor, dyspnea, high fever, toxic appearance Management Hospitalization, endotracheal tube, penicillin, cephalosporin. [medical-dictionary.thefreedictionary.com]

The most frequent sign is the rapid development of stridor. It is occasionally confused with croup. If it is inflamed, a condition known as tracheitis can occur. [en.wikipedia.org]

Bacterial Tracheitis

In patients with Down's syndrome presenting with stridor tracheitis should be considered and appropriate treatment started. [ncbi.nlm.nih.gov]

Physical The following physical findings may be noted: Inspiratory stridor (with or without expiratory stridor) Fever Barklike or brassy cough Hoarseness Worsening or abruptly [emedicine.medscape.com]

Bacterial tracheitis is a recently described clinical entity characterized by high fever, stridor, and airway obstruction. [ncbi.nlm.nih.gov]

Smoke Inhalation Injury

Clinical features of airway burns include soot in the airway, stridor, hoarseness, singed nose hair, and mucosal ulceration Historically, survivors of explosions and fires [derangedphysiology.com]

No statistically significant correlation was found between intubation and any of the classic symptoms of smoke inhalation: stridor, hoarseness, drooling, and dysphagia (all [ncbi.nlm.nih.gov]

Upper airway injury usually causes symptoms within minutes but occasionally over several hours; upper airway edema may cause stridor. [msdmanuals.com]

Tracheal Stenosis

The patient presented with post-extubation stridor that worsened over three days. Initial evidence suggested tracheal stenosis. [ncbi.nlm.nih.gov]

[…] medical advances have impacted the diagnosis, management, and outcomes of pediatric laryngotracheal obstruction, and to describe the advantages of audio‐video documentation of stridorous [doi.org]

To illustrate a case of an iatrogenic mucosal tear in the trachea which caused a one-way valve effect, obstructing the airway and manifesting as post-extubation stridor. [ncbi.nlm.nih.gov]

Laryngeal Disease

In children, congenital laryngeal stridor is the most common cause of chronic stridor. What are the symptoms of congenital laryngeal stridor? [stanfordchildrens.org]

Relationship of Stridor to Breathing Cycle Most Likely Site of Problem Stridor occurs only during inhalation Above chest cavity Outside chest cavity Stridor occurs only during [voicefoundation.org]

see ENT Reasonably common Biphasic stridor inspiratory more prominent Most commonly idiopathic Occaisionally trauma Typically adult female with remote, routine intubation [quizlet.com]

Bilateral Vocal Cord Paralysis

We report a case of bilateral vocal cord paralysis leading to significant stridor in a patient with atypical parkinsonism (probable MSA). [ncbi.nlm.nih.gov]

Two neonates presented with inspiratory stridor due to bilateral vocal cord paralysis associated with occipital encephalocele, Chiari malformation, and hydrocephalus in one [ncbi.nlm.nih.gov]

The most common presenting symptom in children who have bilateral VCP is stridor. [entokey.com]

Relapsing Polychondritis

Imaging data was subsequently correlated with corresponding clinical symptoms like fever, dyspnea, stridor, uveitis, pain, hearing impairment as well as with acute-phase-inflammatory [ncbi.nlm.nih.gov]

Within 5 days, worsening stridor led to tracheostomy placement. [ajnr.org]

Clinical symptoms include dyspnea, cough, wheezing, stridor, and dysphonia. [ajnr.org]

Airway Obstruction

The shortness of breath and stridor would only resolve upon landing of the plane. [ncbi.nlm.nih.gov]

Introduction Laryngomalacia is the most common congenital laryngeal anomaly and is the most frequent congenital cause of stridor in infants. [pedsinreview.aappublications.org]

It may cause stridor, respiratory distress, and severe airway obstruction in the narrow airway of a newborn and necessitates urgent surgical intervention. [ncbi.nlm.nih.gov]

Retropharyngeal Abscess

DISCUSSION The main cause of stridor in children below one year of age is laryngomalacia. [scielo.br]

Adults may have severe neck pain but less often have stridor. The posterior pharyngeal wall may bulge to one side. [merckmanuals.com]

X-ray CT Diagnosis is suspected in patients with severe, unexplained sore throat and neck stiffness, stridor, or noisy breathing. [merckmanuals.com]

Parapharyngeal Abscess

CONCLUSION: Children with RPA most commonly present with restricted neck movements, fever and cervical lymphadenopathy, and rarely with respiratory distress or stridor. [ncbi.nlm.nih.gov]

Symptoms include fever, limited neck movement, voice changes, stridor, proximal lymphadenopathy with swelling of the neck, and breathing difficulties. [symptoma.com]

Clinical findings at presentation were: fever (93%), cervical lymphadenopathy (93%), neck pain (90%), torticollis (74%), odynophagia (64%), trismus (32%), drooling (22%) and stridor [ncbi.nlm.nih.gov]

Foreign Body in the Bronchus

In patients with fever and stridor, epiglottis and glottis was oedematous and in all other cases bronchoscopy was normal. [afrjpaedsurg.org]

He had no nasal congestion, rhinorrhea, stridor, or previous history of difficulty breathing. Figure 1. [consultant360.com]

In stridorous patients, racemic epinephrine via a nebulizer may be a temporizing measure until bronchoscopy can be performed. [emedicine.medscape.com]

Acute Epiglottitis

Stridor/dyspnea is a reliable clinical predictor of airway compromise (odds ratio 2.94; P = 0.0277). [ncbi.nlm.nih.gov]

Symptoms include severe sore throat, dysphagia, high fever, drooling, and inspiratory stridor. [merckmanuals.com]

Once stridor develops, you may only have minutes to act. [entsho.com]

Acute Tracheitis

Additionally, they demonstrate remarkable exam findings such as inspiratory stridor and possibly expiratory stridor, retractions, bark-like cough, and cyanosis. [symptoma.com]

The child then develops the characteristic “barking” cough, hoarseness, and inspiratory stridor. [clinicalgate.com]

The most frequent sign is the rapid development of stridor. It is occasionally confused with croup. If it is inflamed, a condition known as tracheitis can occur. [en.wikipedia.org]

Tracheal Disease

Stridor is a high-pitched noise that occurs when breathing in through narrowed airways. In mild croup, your child may have stridor only when crying or coughing. [aboutkidshealth.ca]

Symptoms include: Noisy breathing (stridor) Recurring pneumonia Wheezing Cyanosis (blue-spells) Apnea (breathing pauses) Chest congestion Imaging. [chop.edu]

Our second case concerns an 85-year-old woman, with a 2-year history of dyspnea and recent onset of stridor. [archbronconeumol.org]

Tracheal Foreign Body

A 19-month-old child was admitted in our clinic following aspiration of peanut, complaining of cough, stridor and respiratory distress. [jstage.jst.go.jp]

[…] last update April 16, 2019 OVERVIEW passage of a foreign body into the respiratory tract potentially life-threatening PREOPERATIVE HISTORY 1-3 year old coughing with food stridor [lifeinthefastlane.com]

Symptoms may include: Choking or gagging when the object is first inhaled Coughing Stridor Wheezing (a whistling sound, usually made when the child breathes out) Although [stanfordchildrens.org]

Superior Vena Cava Syndrome

Stridor is not present. How should his case be evaluated and managed? Funding and Disclosures No potential conflict of interest relevant to this article was reported. [doi.org]

[…] common presenting symptom Increased venous pressure Edema in torso, arms, neck, and head (exacerbated when lying down) Laryngeal edema, leading to cough, hoarseness, dyspnea, stridor [en.wikibooks.org]

[…] laryngeal edema or diminished cardiac reserve (syncope after bending) 4 Life-threatening 5 Significant cerebral edema (confusion, obtundation) or significant laryngeal edema (stridor [en.wikibooks.org]

Foreign Body in the Larynx

They presented with severe attacks of inspiratory stridor, difficulty in breathing and spitting blood. [ncbi.nlm.nih.gov]

Resumed Report: An 11-month-old female patient (M.F.S.) presented to a tertiary hospital with severe dyspnea and stridor. [thieme-connect.com]

The foreign bodies accidentally entering the larynx are symptomatic in the form of choking, stridor or even death. [jemds.com]

Secondary Tracheal Tumor

Case N. 4 In 2012 a 62-year-old woman came to our attention for stridor and dyspnea. [raredisorders.imedpub.com]

[…] of Tracheal Cancer Signs and symptoms of tracheal and bronchial tumors include the following: Coughing, which may involve coughing up blood Difficult or labored breathing Stridor [mountsinai.org]

Postoperatively, she did well, with no further stridor or respiratory compromise. [tracheotomy.info]

Anomalous Origin of the Innominate Artery

Vascular rings diagnosed in patients less than 6 months of age are often associated with symptoms of airway obstruction, such as stridor (noisy breathing). [cincinnatichildrens.org]

Stridor may persist to some degree for months after surgery. FIGURE 280.2. A double aortic arch. [musculoskeletalkey.com]

There is a complete ring that encircles the esophagus and the trachea and usually there is stridor or dysphagia. [radiologyassistant.nl]

Tracheal Carcinoma

[…] bronchoscopic examination, chest CT scan etc.) in patients who had the suggestive points for the tracheal tumors(1. unexplained hemoptysis or hoarsness, 2. inspiratory wheezing or stridor [synapse.koreamed.org]

[…] tumors to metastasize to trachea Laryngeal ca Lung ca Thyroid ca Esophageal ca MC presenting s/s of tracheal tumors Slowly progressive obstructive respiratory sx (wheezing or stridor [brainscape.com]

Symptoms of tracheal stenosis can include: shortness of breath or difficulty breathing coughing, sometimes with blood (known as hemoptysis) wheezing stridor, a high-pitched [mskcc.org]

Recurrent Laryngeal Nerve Palsy

[…] enlargement in such patients may distract clinicians from considering alternative causes of recurrent laryngeal nerve palsy, with potential ensuing severe or even life-threatening stridor [ncbi.nlm.nih.gov]

In the pediatric population, hypocalcaemia constitutes an important cause for stridor and respiratory distress due to laryngospasm. (5) There are several reports on stridor [signavitae.com]

• Clinical features : - Dyspnoea - Stridor 21. [slideshare.net]

Tracheal Injury

Clothes line injury", assaults/strangulation Penetrating trauma (usually stabbings or gunshot wounds) Clinical Features Respiratory distress Hoarseness, dysphonia, cough, stridor [wikem.org]

Stridor is a high-pitched noise that occurs when breathing in through narrowed airways. In mild croup, your child may have stridor only when crying or coughing. [aboutkidshealth.ca]

Usually the object provokes an immediate coughing fit with or without cyanosis, accompanied by dyspnea, stridor, and pain.” ( http://books.google.rs/books? [proz.com]

Hereditary Angioedema Type 3

In severe cases there is a stridor in the airways, with sounds of difficult inspiration and decreasing levels of oxygen. [isithereditary.com]

[…] wall edema resulting in gastrointestinal colic, nausea, vomiting, and/or diarrhea Physical exam skin erythema marginatum may be seen upper airway voice changes or horseness stridor [medbullets.com]

Pruritus, urticaria, and bronchospasm do not occur, but laryngeal edema may be present, causing stridor (and sometimes death). [merckmanuals.com]

Tracheobronchial Injury

Patients apply to emergency department (ED) with Stridor, subcutaneous emphysema, hemoptysis, pneumothorax, severe respiratory distress, hoarseness and pneumomediastinum [ [austinpublishinggroup.com]

Expiratory stridor is typically the result of pathology below the cords. [emedicine.com]

Patients with cervical tracheal injuries may present with stridor and severe respiratory distress or with hoarseness, hemoptysis, or cervical subcutaneous emphysema. [clinicalgate.com]

Traumatic Perforation of the Trachea

Symptoms include stridor, wheezing, hoarseness, shortness of breath and respiratory distress. [acclarent.com]

Mild inspiratory stridor had been noted at home when she cried, and she had a slight hoarse cry. No baseline stridor was noted during the office examination. [nature.com]

[…] from laryngeal fracture, surgical emphysema, hoarse voice or gurgling Complete airway obstruction — silent chest, paradoxical chest movements Partial airway obstruction — stridor [lifeinthefastlane.com]