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Bilateral vocal fold paresis and multiple system atrophy.
Arch Otolaryngol Head Neck Surg. 2002 Dec; 128(12):1404-7.AO

Abstract

OBJECTIVE

To review a case series of patients with systemic neurodegenerative disease presenting to a laryngologist for workup of dysphonia and found to have bilateral vocal fold paresis.

DESIGN

Case series.

SETTING

Tertiary care voice center.

PATIENTS

Series of patients with neurodegenerative disorders examined for dysphonia.

MAIN OUTCOME MEASURES

History and physical examination including fiberoptic laryngoscopy were performed on all patients. Some patients underwent polysomnography.

RESULTS

Seven patients during a 2-year period were noted to have bilateral abductor vocal fold paresis. Five of 7 (71%) had the diagnosis of multiple system atrophy proposed by the laryngologist. All 7 patients described sleep-disordered breathing with stridor.

CONCLUSIONS

Patients with systemic neurodegenerative disorders such as Parkinson disease should be examined for multiple system atrophy and for evidence of bilateral vocal fold paresis. Workup for stridor should include polysomnography. Treatment of glottic obstruction in these patients includes constant positive airway pressure at night or tracheotomy. The finding of bilateral vocal fold paresis can be life threatening.

Authors+Show Affiliations

PENN Center for Voice, Pennsylvania Hospital, 800 Spruce St, Philadelphia, PA 19107, USA. bluminj@pahosp.comNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12479729

Citation

Blumin, Joel H., and Gerald S. Berke. "Bilateral Vocal Fold Paresis and Multiple System Atrophy." Archives of Otolaryngology--head & Neck Surgery, vol. 128, no. 12, 2002, pp. 1404-7.
Blumin JH, Berke GS. Bilateral vocal fold paresis and multiple system atrophy. Arch Otolaryngol Head Neck Surg. 2002;128(12):1404-7.
Blumin, J. H., & Berke, G. S. (2002). Bilateral vocal fold paresis and multiple system atrophy. Archives of Otolaryngology--head & Neck Surgery, 128(12), 1404-7.
Blumin JH, Berke GS. Bilateral Vocal Fold Paresis and Multiple System Atrophy. Arch Otolaryngol Head Neck Surg. 2002;128(12):1404-7. PubMed PMID: 12479729.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bilateral vocal fold paresis and multiple system atrophy. AU - Blumin,Joel H, AU - Berke,Gerald S, PY - 2002/12/17/pubmed PY - 2003/1/11/medline PY - 2002/12/17/entrez SP - 1404 EP - 7 JF - Archives of otolaryngology--head & neck surgery JO - Arch. Otolaryngol. Head Neck Surg. VL - 128 IS - 12 N2 - OBJECTIVE: To review a case series of patients with systemic neurodegenerative disease presenting to a laryngologist for workup of dysphonia and found to have bilateral vocal fold paresis. DESIGN: Case series. SETTING: Tertiary care voice center. PATIENTS: Series of patients with neurodegenerative disorders examined for dysphonia. MAIN OUTCOME MEASURES: History and physical examination including fiberoptic laryngoscopy were performed on all patients. Some patients underwent polysomnography. RESULTS: Seven patients during a 2-year period were noted to have bilateral abductor vocal fold paresis. Five of 7 (71%) had the diagnosis of multiple system atrophy proposed by the laryngologist. All 7 patients described sleep-disordered breathing with stridor. CONCLUSIONS: Patients with systemic neurodegenerative disorders such as Parkinson disease should be examined for multiple system atrophy and for evidence of bilateral vocal fold paresis. Workup for stridor should include polysomnography. Treatment of glottic obstruction in these patients includes constant positive airway pressure at night or tracheotomy. The finding of bilateral vocal fold paresis can be life threatening. SN - 0886-4470 UR - https://www.unboundmedicine.com/medline/citation/12479729/Bilateral_vocal_fold_paresis_and_multiple_system_atrophy_ L2 - https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/vol/128/pg/1404 DB - PRIME DP - Unbound Medicine ER -