Presentation
We describe what appears to be the first case in the medical literature of sarcoidosis presenting as isolated, bilateral true vocal cord paralysis resulting from compressive bilateral mediastinal adenopathy. [ncbi.nlm.nih.gov]
Entire Body System
- Pain
Neurolymphomatosis is a rare entity defined as nerve infiltration by neurotropic abnormal lymphocytes which can lead to the development of neuropathy, with typical presentations including pain, hypoesthesia, paresthesis and palsy. [ncbi.nlm.nih.gov]
CASE REPORT A 60 year old lady presented to the emergency room with 2 days history of abdominal distention, colicky pain and constipation. Her chest x-ray showed pneumoperitoneum. She underwent exploratory laparotomy the same day. [jpma.org.pk]
This is a brief and mildly uncomfortable, but not painful procedure, usually done during an office visit without any sedating medications. [hopkinsmedicine.org]
[5] Bouts of choking [5] Diplophonia [3] Swallowing difficulties [4] Chronic coughing [3] Globus sensation [3] Hypersensitivity or abnormal sensation [6] Vocal fold spasms [3] Pain from vocal use [6] Loss of voice in high pitch ranges [3] Typically, [en.wikipedia.org]
EVALUATION OF VOCAL CORD PARALYSIS PATIENT • History • Symptoms: (a) Change in voice (b) Hoarseness (c) Aphonia (d) Vocal fatigue (e) Neck pain (f) Aspiration (g) Cough • Past Medical & Surgical History : • Social History : • General Examination : • Local [slideshare.net]
Respiratoric
- Stridor
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]
The most common presenting symptom in children who have bilateral VCP is stridor. Children who have bilateral VCP are more likely to present with stridor and dyspnea than with dysphonia and aspiration. [entokey.com]
- Dyspnea
Management of severe dyspnea caused by association of these two complications of thyroidectomy means a great therapeutic challenge. [ncbi.nlm.nih.gov]
- Laryngeal Disease
著者 森智治, 長谷川功, 邑田悟, 趙晃済, 武信洋平, 大鶴繁, 佐藤格夫, 西山慶, 鈴木崇生, 小池薫 cw 認知症, ニンチショウ, dementia, 062282, *, 脳幹神経節疾患, ノウカンシンケイセツシッカン, basal ganglia disease, 055599, 喉頭疾患, コウトウシッカン, laryngeal disease, 054514, 麻痺性疾患, マヒセイシッカン, paralytic disease, 039774, 合併症, ガッペイショウ, [togodb.dbcls.jp]
Signs and Symptoms Respiratory Insufficiency Respiration Disorders Respiratory Tract Diseases Laryngeal Diseases Otorhinolaryngologic Diseases Vagus Nerve Diseases Cranial Nerve Diseases [clinicaltrials.gov]
Ultrasound has become a very important widely used diagnostic tool for the diagnosis of head and neck diseases; however, ultrasound has rarely been used in the diagnosis of laryngeal diseases related to the visualization of endolaryngeal structures [9 [ejo.eg.net]
- Tonsillar Hypertrophy
We did not detect airway malformation, tonsillar hypertrophy, or erythema of the hypopharynx during laryngoscopy. The tip of the laryngoscope had not touched the vocal cords or the posterior wall of pharynx during the procedure. [anesthesiology.pubs.asahq.org]
Skin
- Erythema
In our case, we detected erythema of the posterior wall of hypopharynx and arytenoid region with a fiberoptic bronchoscope. [anesthesiology.pubs.asahq.org]
Workup
On further workup he was diagnosed with hypothyroidism. Genetic workup supported the diagnosis of Williams-Beuren syndrome. We report here a case with an unusual clinical presentation. [ncbi.nlm.nih.gov]
In particular, this workup must include topical anesthesia to the larynx so as to enable an extremely close visualization of the posterior commissure and subglottis, which may uncover evidence of scarring. [laryngopedia.com]
Colonoscopy
- Polyps
A polyp is like a nodule but larger and appears as a swelling, bump, or blister. If swallowing or breathing difficulties are a problem, a tracheotomy may be needed to open the windpipe in order to maintain a safe and stable airway. [cincinnatichildrens.org]
Surgical treatment is recommended when there are nodules and polyps that need to be removed from the vocal cords; if swallowing or breathing difficulties are a problem; or, if there are other problems that only surgery can treat. [hopkinsmedicine.org]
Peritonsillar abscess J37 Chronic laryngitis and laryngotracheitis J37.0 Chronic laryngitis J37.1 Chronic laryngotracheitis J38 Diseases of vocal cords and larynx, not elsewhere classified J38.0 Paralysis of vocal cords and larynx J38.02 …… bilateral J38.1 Polyp [icd10data.com]
Treating Voice Disorders Voice problems are commonly caused by benign vocal cord lesions such as nodules, polyps, or cysts, which may result in hoarseness (dysphonia) ; limitations in pitch, range, and volume; shortness of breath; the frequent need to [nyee.edu]
Treatment
OBJECTIVE: To evaluate long-term results of surgical treatment for bilateral vocal cord paralysis using objective and subjective measures of breathing and voice quality. DESIGN: Prospective cross-sectional case series. [ncbi.nlm.nih.gov]
The detection of either would prompt the treatment of these underlying issues. It is possible that after treatment, paralysis of the vocal cords can resolve itself. [uciheadandneck.com]
Prognosis
[…] large subtorcular occipital encephalocele in neonate carries higher risk of associated hindbrain anomalies and secondary process for neurological deterioration which predict the surgical outcomes and long-term prognosis. [ncbi.nlm.nih.gov]
The prognosis and management of idiopathic vocal cord paralysis. Clinical Otolaryngology, 14 (3), 247-250. Woo, P. (2010). Stroboscopy. San Diego, EEUU: Plural Publishing. Woo, P., Colton, R., Brewer, D. & Casper, J. (1991). [revistas.iberoamericana.edu.co]
M. ( 1989 ) The prognosis and management of idiopathic vocal cord paralysis. Clinical Otolaryngology 14 : 247 – 250. Woodman D. ( 1946 ) A modification of the extralaryngeal approach to arytenoidectomy for bilateral abductor paralysis. [cambridge.org]
Etiology
There was no obvious cause for the paralysis and possible etiological factors are discussed. Overextension of the neck during intubation is suspected of being the etiological agent causing stretching of both the vagus nerves. [ncbi.nlm.nih.gov]
Etiology The etiology of BVFI in the study population, in decreasing order of incidence, included thyroid disease or associated surgery, intubation-related injury, congenital, central neurological disorders, autoimmune disease, and surgery or cancer of [journalotohns.biomedcentral.com]
Epidemiology
Post-surgical intervention is warranted to restore laryngeal muscle strength, agility and coordination. [20] Epidemiology [ edit ] Due to the complex and controversial nature of this condition, [3] epidemiological (incidence) reports vary significantly [en.wikipedia.org]
Tracheostomy: epidemiology, indications, timing, technique, and outcomes. Respir Care. 2014 Jun;59(6):895–915. 14. Newman MH, Work WP. Arytenoidectomy revisited. Laryngoscope. 1976 Jun;86(6):840–9. 15. Woodman D. [e-ceo.org]
Pathophysiology
However, the pathophysiology of CBVCP is unknown and further investigations into the etiology of Moebius syndrome are required. [ncbi.nlm.nih.gov]
Negative pressure pulmonary edema revisited: Pathophysiology and review of management. Saudi J Anaesthesia [Internet]. 2011; 5: 308-13. Krodel DJ, Bittner E a, Abdulnour R-EE, Brown RH, Eikermann M. [revistas.asoneumocito.org]
Reisert PM (1996) Pathophysiology and clinical aspects of myxedema. Z Lymphol 20:6–10 PubMed Google Scholar 26. Lichtenberger G (2007) A new ligature-suture technique and instrument to control difficult pharyngeal and laryngeal hemorrhage. [link.springer.com]
Pathophysiology Although a comprehensive discussion of each of the causes is beyond the scope of this article, some principles should be emphasized. [emedicine.medscape.com]
Bilateral vocal fold motion impairment: pathophysiology and management by transverse cordotomy. Ann Otol Rhinol Laryngol 1991; 100 (Pt 1):717-721. 8. Laccourreye O, Escovar M, Gerhardt J, et al. [ejo.eg.net]
Prevention
Early decompression may prevent permanent recurrent laryngeal nerve injury and airway obstruction. [ncbi.nlm.nih.gov]