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Repeated episodes of respiratory failure due to bilateral vocal cord paralysis.
J Emerg Med. 2013 Nov; 45(5):e145-8.JE

Abstract

BACKGROUND

Bilateral vocal cord paralysis can produce severe airway obstruction, leading to acute respiratory failure. Discriminating the pathology of the upper airway from chronic obstructive diseases of the lower airways often presents a challenge for clinicians in the Emergency Department.

OBJECTIVES

To underlie the value of clinical examination and flow-volume loops in the establishment of diagnosis of upper airway obstruction.

CASE REPORT

We describe the case of a 55-year-old female ex-smoker who presented with a long history of hoarseness and progressive exertional dyspnea. The patient developed repeated episodes of acute respiratory failure and was supported with noninvasive ventilation. The diagnosis of bilateral vocal cord paralysis was finally established by patient's symptoms and flow-volume loops demonstrating variable extrathoracic obstruction.

CONCLUSION

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.

Authors+Show Affiliations

Respiratory Failure Unit, General Hospital "G. Papanikolaou," Exohi, Thessaloniki, Greece.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23988139

Citation

Paspala, Asimina, et al. "Repeated Episodes of Respiratory Failure Due to Bilateral Vocal Cord Paralysis." The Journal of Emergency Medicine, vol. 45, no. 5, 2013, pp. e145-8.
Paspala A, Sourla E, Boutou A, et al. Repeated episodes of respiratory failure due to bilateral vocal cord paralysis. J Emerg Med. 2013;45(5):e145-8.
Paspala, A., Sourla, E., Boutou, A., Zoglopitis, F., Pataka, A., Bagalas, V., Stanopoulos, I., & Pitsiou, G. (2013). Repeated episodes of respiratory failure due to bilateral vocal cord paralysis. The Journal of Emergency Medicine, 45(5), e145-8. https://doi.org/10.1016/j.jemermed.2013.05.053
Paspala A, et al. Repeated Episodes of Respiratory Failure Due to Bilateral Vocal Cord Paralysis. J Emerg Med. 2013;45(5):e145-8. PubMed PMID: 23988139.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Repeated episodes of respiratory failure due to bilateral vocal cord paralysis. AU - Paspala,Asimina, AU - Sourla,Evdokia, AU - Boutou,Afroditi, AU - Zoglopitis,Fotis, AU - Pataka,Athanasia, AU - Bagalas,Vasilis, AU - Stanopoulos,Ioannis, AU - Pitsiou,Georgia, Y1 - 2013/08/26/ PY - 2012/11/12/received PY - 2013/02/08/revised PY - 2013/05/01/accepted PY - 2013/8/31/entrez PY - 2013/8/31/pubmed PY - 2014/11/7/medline KW - flow-volume loop KW - noninvasive ventilation KW - respiratory failure KW - vocal cord paralysis SP - e145 EP - 8 JF - The Journal of emergency medicine JO - J Emerg Med VL - 45 IS - 5 N2 - BACKGROUND: Bilateral vocal cord paralysis can produce severe airway obstruction, leading to acute respiratory failure. Discriminating the pathology of the upper airway from chronic obstructive diseases of the lower airways often presents a challenge for clinicians in the Emergency Department. OBJECTIVES: To underlie the value of clinical examination and flow-volume loops in the establishment of diagnosis of upper airway obstruction. CASE REPORT: We describe the case of a 55-year-old female ex-smoker who presented with a long history of hoarseness and progressive exertional dyspnea. The patient developed repeated episodes of acute respiratory failure and was supported with noninvasive ventilation. The diagnosis of bilateral vocal cord paralysis was finally established by patient's symptoms and flow-volume loops demonstrating variable extrathoracic obstruction. CONCLUSION: 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. SN - 0736-4679 UR - https://www.unboundmedicine.com/medline/citation/23988139/Repeated_episodes_of_respiratory_failure_due_to_bilateral_vocal_cord_paralysis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0736-4679(13)00601-X DB - PRIME DP - Unbound Medicine ER -