Presentation
A plan of diagnosis and management is presented. [ncbi.nlm.nih.gov]
Table 1 Patients with multiple system atrophy who initially presented with laryngeal abductor paralysis/stridor In the cases presented, it proved true that LAP/stridor can be a solitary manifestation of MSA. [jnnp.bmj.com]
Despite this statement relatively few reports of congenital laryngeal-abductor paralysis can be found in the literature, and I have been unable to locate any reference to this occurrence in siblings.The present report concerns 3 brothers with congenital [nejm.org]
Abstract Two brothers presented with late-onset cerebellar ataxia and severe dysphonia. Brain MRI showed vermian and hemispheric cerebellar atrophy. Laringofiberscopy revealed laryngeal abductor paralysis in both patients. [neurology.org]
Psychiatrical
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Suggestibility
The combined findings and the molecular analysis suggest a new familial disorder. Inheritance is most likely autosomal recessive, but X-linked transmission is also possible. [ncbi.nlm.nih.gov]
The interval between LAP/stridor and hospital admission was rather long (on average 5.4 years), suggesting that the progression of LAP was not very rapid in those patients. [jnnp.bmj.com]
The combined findings and the molecular analysis suggest a new familial disorder. Inheritance is most likely autosomal recessive, but X-linked transmission is also possible. Received December 21, 2000. Accepted February 3, 2001. [neurology.org]
Estimates suggest the event raised […] The Dystonia Medical Research Foundation (DMRF) could not function without dedicated, enthusiastic volunteers. [dystonia-foundation.org]
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Psychomotor Retardation
A report on three necropsied cases, with observations on the laryngeal muscles and the nuclei ambigui. ( 7237099 ) Bannister R....Oppenheimer D.R. 1981 11 Familial laryngeal abductor paralysis and psychomotor retardation. ( 4751313 ) Watters G.V....Fitch [malacards.org]
Neurologic
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Ataxia
Two brothers presented with late-onset cerebellar ataxia and severe dysphonia. Brain MRI showed vermian and hemispheric cerebellar atrophy. Laringofiberscopy revealed laryngeal abductor paralysis in both patients. [ncbi.nlm.nih.gov]
In the remaining two patients stridor occurred together with bladder dysfunction or gait ataxia. [jnnp.bmj.com]
Abstract Two brothers presented with late-onset cerebellar ataxia and severe dysphonia. Brain MRI showed vermian and hemispheric cerebellar atrophy. Laringofiberscopy revealed laryngeal abductor paralysis in both patients. [neurology.org]
[…] manifestation. ( 17826894 ) Deguchi K....Kuriyama S. 2007 3 Laryngeal abductor paralysis can be a solitary manifestation of multiple system atrophy. ( 15946984 ) Uzawa A....Hattori T. 2005 4 Adult-onset familial laryngeal abductor paralysis, cerebellar ataxia [malacards.org]
& GE reflux : 3p22 HNA : SEPT9; 17q25 Recurrent laryngeal nerve lesion Vincristine Other Distal myopathy Vocal cord & Pharyngeal Δ : MATR3 Hypothyroid Myasthenia gravis Williams-Beuren syndrome Arnold-Chiari Malformation Laryngeal abductor paralysis Ataxia [neuromuscular.wustl.edu]
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Cerebellar Ataxia
Two brothers presented with late-onset cerebellar ataxia and severe dysphonia. Brain MRI showed vermian and hemispheric cerebellar atrophy. Laringofiberscopy revealed laryngeal abductor paralysis in both patients. [ncbi.nlm.nih.gov]
Abstract Two brothers presented with late-onset cerebellar ataxia and severe dysphonia. Brain MRI showed vermian and hemispheric cerebellar atrophy. Laringofiberscopy revealed laryngeal abductor paralysis in both patients. [neurology.org]
ataxia, and pure motor neuropathy. ( 11376202 ) Barbieri F....De Michele G. 2001 5 Localization of the gene for familial laryngeal abductor paralysis to chromosome 6q16. ( 11493198 ) Manaligod J.M....Smith R.J. 2001 6 Syndrome of inappropriate secretion [malacards.org]
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Akinesia
In the former six patients, stridor was followed by bladder dysfunction in four, constipation in three, tremor/akinesia in one, ataxia in one, and postural hypotension in one. [jnnp.bmj.com]
A neurologist of our hospital noted akinesia, mask-like face and small steppage gait and apparent dementia based on mini-mental state examination (MMSE 21/30). He was diagnosed as having probable DLB based on the clinical criteria [ 10 ]. [karger.com]
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Gait Ataxia
In the remaining two patients stridor occurred together with bladder dysfunction or gait ataxia. [jnnp.bmj.com]
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Speech Disorder
Clinical forms and templates are included for use in assessing and treating various speech disorders. [books.google.de]
Urogenital
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Incontinence
Co-morbid bladder dysfunction (particularly urinary incontinence and post-voiding residual volume of more than 100 ml), postural and postprandial syncope, parkinsonism, and ataxia are all red flags suggestive of MSA. 10 In our eight patients, bladder [jnnp.bmj.com]
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Urinary Incontinence
Co-morbid bladder dysfunction (particularly urinary incontinence and post-voiding residual volume of more than 100 ml), postural and postprandial syncope, parkinsonism, and ataxia are all red flags suggestive of MSA. 10 In our eight patients, bladder [jnnp.bmj.com]
Workup
This paper addresses the established diagnostic workup for VFI and critically evaluates the contribution of different modalities to VFI diagnosis. [ejo.eg.net]
Although a small number of conditions account for most cases of vocal cord immobility, this article presents a comprehensive differential diagnosis, followed by the clinical presentations, diagnostic workup, and treatment options. [emedicine.medscape.com]
Treatment
This interactive workbook-style text highlights important concepts in the evaluation and treatment of voice and laryngeal disorders. [books.google.de]
Evaluation and treatment of complications of thyroid and parathyroid Surgery. Otol Clin North Am 1990;23:529. [link.springer.com]
Treatment Please input treatment information here. You can also add sub-section(s) at will. Labs working on this disease Please input related labs here. References Please input treatment information here. [pediascape.org]
Vocal Fold Paralysis is a clinically useful reference for evaluation and treatment, as well as a summary of current knowledge and investigational approaches. [books.google.com]
Prognosis
The position of the paralyzed VF carries no significance with respect to the site of injury or prognosis. [ejo.eg.net]
"Course and prognosis of myasthenia gravis: a systematic review". European Journal of Neurology. 17 (7): 913–21. doi : 10.1111/j.1468-1331.2010.03017.x. PMID 20402761. a b Shaker R (2013). [en.wikipedia.org]
The clinical consequences of bilateral paralysis usually depend on the position of the cords; in general, the prognosis is more serious in cases of sudden onset. [neupsykey.com]
To conclude, suture lateralization should be considered for all patients with BVFI, especially in cases of good prognosis for recovery. Acknowledgment We thank Dr. Madani Shahram (ENT consultant) for providing us the [Figure 4] of the ETGI. [laryngologyandvoice.org]
Etiology
Synonyms laryngeal abductor paralysis - intellectual disability plott syndrome familial vocal cord dysfunction gerhardt syndrome Etiology Please input defination information here. Diagnosis Please input defination information here. [pediascape.org]
Etiologies of the paralyses from both vocal folds are in large number, and sequelae from thyroid gland surgery predominates (3). Tumor diseases of the cervical and mediastinum areas are less common etiologies (3). [arquivosdeorl.org.br]
In the study by Jang et al. [80], patients with VFP of central etiology showed a higher incidence of penetration and aspiration as compared with patients with peripheral etiology. [ejo.eg.net]
Etiology superior thoracic masses, e.g. lung cancer (most common 7 ), aortic pathologies (e.g. thoracic aortic aneurysm ), thyroid cancer, laryngeal cancer 6,7 masses affecting the vagus nerve, e.g. jugular foramen masses, carotid body tumors surgical [radiopaedia.org]
Cricoarytenoid arthritis, which may cause fixation of the cricoarytenoid joint, must be differentiated from a neuromuscular etiology. Fixation is best documented by absence of passive mobility during rigid laryngoscopy under general anesthesia. [merckmanuals.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]
Epidemiology A retrospective analysis of data from a large American claims database found that of almost 55 million individuals, 536,943 patients (ages 0 to 65 years) were given a dysphonia diagnosis (point prevalence rate of 0.98%). [ 3 ] One study screening [patient.info]
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
Lucian Sulica, Andrew Blitzer Springer Science & Business Media, ٢٨/٠٤/٢٠٠٦ - 253 من الصفحات New therapeutic options and approaches have been developed based on an expanded knowledge of the underlying pathophysiology of vocal fold paralysis. [books.google.com]
24 Pathophysiology of the Paralyzed Vocal Fold The laryngoscopic appearance of vocal fold paralysis reflects the considerable variation in the underlying pathophysiology of the condition. [entokey.com]
Bilateral vocal fold motion impairment: pathophysiology and management by transverse cordotomy. Ann Otol Rhinol Laryngol. 1991;100:717-21. Hans S, Grevier-Buchanan L, Laccourreye O, Brasnu D. [revistas.usal.es]
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]
Pathophysiology of vocal fold paralysis Patterns of injury The RLN contains 500-1000 motor axons, and all are myelinated [22]. The nerve trunk is a collection of fascicles. [ejo.eg.net]
Prevention
Transection of this nerve at the point between interarytenoid and PCA branch may prevent aberrant reinnervation of adductor nerve axons to the PCA muscle. [journals.lww.com]
Unilateral vocal fold paralysis can be caused by a variety of diseases or disorders that prevent movement in one vocal fold. [texasvoicecenter.com]
This stimulation can prevent the muscles from atrophying while they regenerate. In addition, the stimulation can re-establish reinnervation. [vanderbilthealth.com]
The only difference noted was that he placed three or four loops to prevent tension and cut through of the suture through the mucosa. [laryngologyandvoice.org]
Augmentation involves injecting a paste of plasticized particles, collagen, micronized dermis, or autologous fat into the paralyzed cord, bringing the cords closer together to improve the voice and prevent aspiration. [merckmanuals.com]