Tags

Type your tag names separated by a space and hit enter

[Persistent Bilateral Vocal Cord Paralysis after General Anesthesia in a Patient with Multiple System Atrophy: A Case Report].
Masui. 2015 Jun; 64(6):651-4.M

Abstract

We report a case of persistent bilateral vocal cord paralysis which developed after spine surgery under general anesthesia in a patient with multiple system atrophy. A 64-year-old woman was scheduled to receive spinal fusion surgery for kyphoscoliosis. She did not have apparent symptoms of vocal cord paralysis such as hoarseness before surgery. The surgery was performed smoothly under general anesthesia with endotracheal intubation. However, immediately after extubation, the patient developed severe upper airway obstruction and was re-intubated. Fiberoptic laryngoscopy revealed bilateral vocal cord abductor paralysis. Vocal cord paralysis did not improve and she received tracheotomy on the 12th day after surgery. She also showed symptoms of autonomic nervous system dysfunction and cerebellar ataxia, and was diagnosed as multiple system atrophy on postoperative day 64. We discuss differential diagnosis of persistent vocal cord paralysis after general anesthesia, and anesthetic management of a patient with multiple system atrophy.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

jpn

PubMed ID

26437559

Citation

Konishi, Hanako, et al. "[Persistent Bilateral Vocal Cord Paralysis After General Anesthesia in a Patient With Multiple System Atrophy: a Case Report]." Masui. the Japanese Journal of Anesthesiology, vol. 64, no. 6, 2015, pp. 651-4.
Konishi H, Mizota T, Fukuda K. [Persistent Bilateral Vocal Cord Paralysis after General Anesthesia in a Patient with Multiple System Atrophy: A Case Report]. Masui. 2015;64(6):651-4.
Konishi, H., Mizota, T., & Fukuda, K. (2015). [Persistent Bilateral Vocal Cord Paralysis after General Anesthesia in a Patient with Multiple System Atrophy: A Case Report]. Masui. the Japanese Journal of Anesthesiology, 64(6), 651-4.
Konishi H, Mizota T, Fukuda K. [Persistent Bilateral Vocal Cord Paralysis After General Anesthesia in a Patient With Multiple System Atrophy: a Case Report]. Masui. 2015;64(6):651-4. PubMed PMID: 26437559.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Persistent Bilateral Vocal Cord Paralysis after General Anesthesia in a Patient with Multiple System Atrophy: A Case Report]. AU - Konishi,Hanako, AU - Mizota,Toshiyuki, AU - Fukuda,Kazuhiko, PY - 2015/10/7/entrez PY - 2015/10/7/pubmed PY - 2015/12/15/medline SP - 651 EP - 4 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 64 IS - 6 N2 - We report a case of persistent bilateral vocal cord paralysis which developed after spine surgery under general anesthesia in a patient with multiple system atrophy. A 64-year-old woman was scheduled to receive spinal fusion surgery for kyphoscoliosis. She did not have apparent symptoms of vocal cord paralysis such as hoarseness before surgery. The surgery was performed smoothly under general anesthesia with endotracheal intubation. However, immediately after extubation, the patient developed severe upper airway obstruction and was re-intubated. Fiberoptic laryngoscopy revealed bilateral vocal cord abductor paralysis. Vocal cord paralysis did not improve and she received tracheotomy on the 12th day after surgery. She also showed symptoms of autonomic nervous system dysfunction and cerebellar ataxia, and was diagnosed as multiple system atrophy on postoperative day 64. We discuss differential diagnosis of persistent vocal cord paralysis after general anesthesia, and anesthetic management of a patient with multiple system atrophy. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/26437559/[Persistent_Bilateral_Vocal_Cord_Paralysis_after_General_Anesthesia_in_a_Patient_with_Multiple_System_Atrophy:_A_Case_Report]_ L2 - http://www.diseaseinfosearch.org/result/5584 DB - PRIME DP - Unbound Medicine ER -