A rare complication of recurrent cerebrovascular infarct: Bilateral vocal cord paralysis

Önder, Elif; Celbek, Gökhan; Gungor, Adem; Dumlu, Talha; Kır, Seher; Aydın, Yusuf; Yılmaz, Süleyman
June 2011
Dicle Medical Journal / Dicle Tip Dergisi;2011, Vol. 38 Issue 2, p222
Academic Journal
Bilateral vocal cord paralysis (BVCP) is usually the result of an iatrogenic injury, especially secondary to thyroid and parathyroid surgery. However, BVCP that cause airway obstruction due to cerebral cortical stroke very rarely has been reported. We, herein report a case of BVCP that resulted in respiratory arrest as a late and life threatening complication of recurrent cerebral infract. A 67 year-old male patient admitted the emergency room with complaint of respiratory insufficiency. His complaint was progressed during last 3-4 months. He had two cerebral infractions attacks in a month approximately one year ago. On admission, physical examination revealed that, he had bilateral wheezing and stridor. He had right sided hemiplegia and had no history of heart failure or chronic obstructive lung disease. Endoscopic laryngoscopy was performed to evaluate upper airway obstruction. Laryngoscopy revealed that bilateral vocal cords were fixed and immobile at midline. Due to recurrent respiratory arrest, insufficient and fixed BVCP, open tracheostomy was perormed. After operation, he had no respiratory insufficiency or any complications. So he discharged from hospital with normal respiratory functions.


Related Articles

  • LASER POSTERIOR CORDECTOMY FOR BILATERAL ABDUCTOR VOCAL CORD PALSY : A CASE REPORT. Mohamad, Irfan; Wan Shah Jihan; Mohamad, Hazama; Abdullah, Baharuddin // Malaysian Journal of Medical Sciences;Jan2008, Vol. 15 Issue 1, p42 

    Bilateral abductor vocal cord palsy is comparatively a rare vocal cord lesion, especially in a patient with no history of neck mass, previous surgery or trauma. Many patients are not stridulous. A patient presenting with stridor may need emergency airway management before the other treatment is...

  • Subglottic high frequency jet ventilation in management of bilateral vocal fold paralysis: A case report. Kalezic, Nevena; Janjevic, Dusanka; Dolinaj, Vladimir; Ladjevic, Nebojsa; Markovic, Dejan // HealthMed;2013, Vol. 7 Issue 4, p1262 

    We present the use of subglottic high frequency jet ventilation (HFJV) in treatment of bilateral vocal fold palsy in 36-year-old female who underwent thyroidectomy on the previous day. After intravenous anesthesia induction, endotracheal tube was exchanged with jet catheter inserted through the...

  • Acute airway obstruction in patients with AIDS. Ayles, H. M.; Burton, M.; Decock, K. M.; Grant, H. R.; Miller, R. F. // International Journal of STD & AIDS;Feb1999, Vol. 10 Issue 2, p127 

    The article presents a case report regarding acute airway obstruction in patients with acquired immune deficiency syndrome (AIDS). It describes the cases 3 human immunodeficiency virus (HIV)-infected patients, including a 48-year-old homosexual man presented with bilateral vocal cord paralysis...

  • Laryngeal Sarcoidosis Causing Acute Airway Obstruction: A Rare Sequela of a Rare Entity. Kedia, Shiksha; Koirala, Ashish; Bhatt, Vijaya Raj; Gaddam, Sainath; Landa, Marina; Maniatis, Theodore // Journal of Medical Cases;2013, Vol. 4 Issue 3, p142 

    Laryngeal sarcoidosis, a rare entity, presents a diagnostic challenge and can masquerade as asthma. We present a case of a 53-year-old man with laryngeal sarcoidosis, which was initially misdiagnosed as asthma. The delay in the diagnosis resulted in an airway emergency and required an urgent...

  • Acute epiglottitis: a retrospective review of 47 patients in Kuwait. Qazi, Imtiaz Majid; Jafar, Abdul Mohsin; Hadi, Khalid Al Abdul; Hussain, Zakir // Indian Journal of Otolaryngology & Head & Neck Surgery;Oct-Dec2009, Vol. 61 Issue 4, p301 

    Objectives Acute epiglottitis is a potentially life threatening condition which can lead to fatal airway obstruction in previously healthy individuals. The present study was undertaken to assess the clinical features, management and patient outcomes of epiglottitis in Kuwait over an eight year...

  • The use of Mapleson-C circuit in airway clearance and lung expansion for patients with neuromuscular disease -- a case report. Jeganath, Murugesan; Sivaguru, Muthusamy; Balakrishnan, Umamaheshwary // Advances in Palliative Medicine;2010, Vol. 9 Issue 2, p49 

    Background: Neuromuscular diseases involving respiratory muscles often requires tracheostomy for their airway management this entails ventilation and lung expansion techniques. Physiotherapy plays a vital role in managing these patients for weaning from ventilators, improving lung expansion and...

  • Vardenafil.  // Reactions Weekly;8/7/2010, Issue 1313, p41 

    The article describes the case of a 31-year-old man who developed dysphonia secondary to vocal fold haemorrhage after taking vardenafil before sexual intercourse and received a steroid taper and was prescribed voice rest for 2 weeks.

  • Clinical and Lung-Function Variables Associated With Vocal Cord Dysfunction. Watson, Maura A.; King, Christopher S.; Holley, Aaron B.; Greenburg, David L.; Mikita, Jeffrey A. // Respiratory Care;Apr2009, Vol. 54 Issue 4, p467 

    BACKGROUND: Vocal cord dysfunction (VCD) is difficult to diagnose. Laryngoscopy while the patient is symptomatic is the accepted standard method to establish a diagnosis of VCD, but patient characteristics and spirometry values are thought to be useful for predicting VCD. We sought to identify...

  • Desflurane/remifentanil: Progressive vocal cord closure, relieved after propofol administration: 2 case reports.  // Reactions Weekly;Nov2013, Issue 1477, p13 

    The article presents a case study of two women who underwent orthopaedic hand surgery and developed vocal cord closure during anaesthesia treatment with desflurane and remifentanil which was resolved with propofol.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics