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
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Excessive Daytime Sleepiness
She had been referred with a history of high-pitched snoring, apnea witnessed by her spouse, and excessive daytime sleepiness for the last 5 years. [ncbi.nlm.nih.gov]
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Multiple Congenital Anomalies
congenital anomalies, toxic and metabolic causes, inflammation and tumours of the larynx (1, 2, 5). [czytelniamedyczna.pl]
Respiratoric
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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]
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Dyspnea
Management of severe dyspnea caused by association of these two complications of thyroidectomy means a great therapeutic challenge. [ncbi.nlm.nih.gov]
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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]
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]
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Loud Snoring
The RDI, DI, mean saturation and percentage of snoring, loud snoring and sleep without snoring were estimated and compared pre- and postoperatively. The results were compared by the Student's t-test for dependent values. [ncbi.nlm.nih.gov]
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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]
Musculoskeletal
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Hand Muscle Weakness
The patient, a 37-year-old male, was paraplegic, had bilateral intrinsic hand muscle weakness and sphincter involvement following a whiplash cervical spinal injury. A C5-C6 ACD/F for traumatic C5-C6 disc prolapse was performed. [ncbi.nlm.nih.gov]
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Osteophyte
We report the MR and CT findings of a case of bilateral vocal cord paralysis caused by cervical spinal osteophytes compressing the recurrent laryngeal nerves. [ncbi.nlm.nih.gov]
Neurologic
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Somnolence
Within minutes, fever and somnolence developed, followed by progressive respiratory distress and stridor, without generalized weakness. The child's condition progressed to complete airway obstruction, and intubation was necessary. [ncbi.nlm.nih.gov]
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Neglect
Vocal cord paralysis is a rare and often neglected condition, contributing to repeated episodes of acute respiratory failure. Flow-volume loop is a useful tool when symptoms are suggestive of upper airway obstruction. [ncbi.nlm.nih.gov]
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Bradykinesia
Patients can struggle to manage a tracheostomy due to the tremor and bradykinesia associated with their parkinsonism. [ncbi.nlm.nih.gov]
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]
Serum
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Hypercapnia
Treatment with nocturnal inspiratory positive airway pressure via nasal mask improved symptoms and reduced hypercapnia. [ncbi.nlm.nih.gov]
Other Pathologies
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Occipital Encephalocele
[…] 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]
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]
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 role of laryngeal electromyography (EMG) in contributing to the diagnosis and prognosis of vocal cord immobility in children has been debated, in part because the standard awake, percutaneous technique used in adults is not practical. [entokey.com]
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]
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]
Vocal fold immobility: a longitudinal analysis of etiology over 20 years. Laryngoscope. 2007 Oct;117(10):1864-70. [CrossRef] [PubMed] Cite as: Van Hook CJ, Warner B, Taylor A, Gould J. Medical image of the week: bilateral vocal cord paralysis. [swjpcc.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]
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]
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]
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]