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Ptosis - Vocal Cord Paralysis Syndrome

Tucker Syndrome


Presentation

  • Acute stridor due to bilateral vocal fold paralysis as a presenting sign of myasthenia gravis. J Laryngol Otol 1992: 106 (8): 737-8. 12.[ispub.com]
  • […] early, acutely, and was the primary presenting symptom of GBS.[kjorl.org]
  • Thymic tumors are present in 10% of patients with MG.[clinicaladvisor.com]
  • DISCUSSION We present a case of a 77-year-old woman with slowly progressive neurogenic dysphagia as initial sign of anti-IgLON5 syndrome.[nn.neurology.org]
  • We report an unusual case of lateral medullary syndrome which presented with symptoms of acute upper airway obstruction mimicking angioneurotic oedema.[cambridge.org]
Rhinitis
  • CHAPTER 42 979 Sylvan E Stool M D Katherine W L Vig 992 Rhinitis and Acute and Chronic Sinusitis 995 Surgical Management of Chronic 1013 Foreign Bodies of the Nose 1032 CHAPTER 48 1054 Anne ChunHui Tsai M D M Sc F A A P 1058 CHAPTER 74 1066 SECTION IV[books.google.com]
Heart Block

Workup

  • Methods: The diagnostic workup included cerebral MRI, fiber optic endoscopic evaluation of swallowing (FEES) with the FEES tensilon test, a videofluoroscopic swallowing study, evoked potentials and peripheral nerve conduction studies, polysomnography,[nn.neurology.org]
  • 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

  • Treatment may allow early decannulation or possible avoidance of tracheostomy. At least 12 genes are known to cause CMS; the presence of congenital stridor may help target genetic diagnosis.[ndcn.ox.ac.uk]
  • […] in long-term outcomes for both of these treatments.[patient.info]
  • One day after treatment initiation, she developed acute respiratory distress and required mechanical ventilation because of respiratory muscle weakness. Nine days after treatment, oral intubation was removed.[kjorl.org]
  • Surgical treatment centers on thymectomy.[clinicaladvisor.com]

Prognosis

  • In this report of Roland Payne syndrome related to birth trauma, the prognosis was favorable.[degruyter.com]
  • Prognosis is usually poor with 70% of patients presenting permanent damage or incomplete recovery. Complete remission may occur after long time (up to 15 months).[link.springer.com]
  • Prognosis This will depend on the extent of disease; however: Acute basilar artery occlusion has a very high mortality rate. Vertebrobasilar stroke usually leaves significant neurological deficits.[patient.info]
  • The present case had some characteristics similar to those of previous cases, such as the onset of HS on postoperative day 2 and the lack of symptoms related to vascular or sweating dysfunction.The prognosis of HS has been proposed to be poor depending[happidoc.com]
  • Complete blood count—children with white blood cell (WBC) count of less than 10,000/mm 3 at time of diagnosis have best prognosis; WBC count of more than 50,000/mm 3 is an unfavorable prognostic sign in children of any age.[clinicalgate.com]

Etiology

  • George et al found no etiology in 16 of 23 (70%) infants with Horner syndrome identified in the 1st year of life, 83 and Smith et al could not identify an etiology in 35% of children with a Horner syndrome who were followed for a mean period of 5 years[dovepress.com]
  • The role of psychological factors in the etiology of swallowing disorders remains controversial.[nature.com]
  • Some researchers postulate that the etiology in some children with bilateral vocal fold paralysis (BVFI) is an imbalance between the adductors and abductors of the larynx that results in adducted vocal folds.[emedicine.medscape.com]
  • Congestive heart failure Congestive heart failure is considered in the Listing under one category whatever the etiology (i.e., arteriosclerotic, hypertensive, rheumatic, pulmonary, congenital, or other organic heart disease).[secure.ssa.gov]

Epidemiology

  • Further epidemiologic investigation of the prevalence of OSA in this population is warranted. * From the Division of Pulmonary, Allergy, and Critical Care (Dr.[the-medical-dictionary.com]
  • Epidemiology A relatively uncommon form of stroke.[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • Instrumental dysphagia assessment revealed a complex pathophysiology involving the oral, pharyngeal, and esophageal phase of swallowing.[nn.neurology.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]
  • Pathophysiology Atherosclerosis : the most common vascular disease affecting the vertebrobasilar system: [ 1 ] This affects large vessels, causing narrowing and occlusion.[patient.info]

Prevention

  • Even with vertebral artery occlusion, collaterals (circle of Willis) may prevent ischaemia.[patient.info]
  • A three-tiered process leads to a safe swallow and prevention of aspiration.[nature.com]
  • Chemotherapeutic agents are administered to prevent cancer cells from dividing and metastasizing.[clinicalgate.com]
  • Delaying surgery in children with bilateral vocal fold (cord) immobility (BVFI) caused by PGS is not beneficial; consequently, bilateral vocal fold immobility (BVFI) must be diagnosed correctly in these children to prevent restriction from surgical repair[emedicine.medscape.com]
  • Loss of central vision results in inability to distinguish detail and prevents reading and fine work. Loss of peripheral vision restricts the ability of an individual to move about freely.[secure.ssa.gov]

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