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- Title
A rare complication of recurrent cerebrovascular infarct: Bilateral vocal cord paralysis.
- Authors
Önder, Elif; Celbek, Gökhan; Gungor, Adem; Dumlu, Talha; Kır, Seher; Aydın, Yusuf; Yılmaz, Süleyman
- Abstract
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.
- Subjects
CASE studies; CEREBROVASCULAR disease; VOCAL cord diseases; DISEASE complications; RESPIRATORY obstructions; TRACHEOTOMY
- Publication
Dicle Medical Journal / Dicle Tip Dergisi, 2011, Vol 38, Issue 2, p222
- ISSN
1300-2945
- Publication type
Article
- DOI
10.5798/diclemedj.0921.2011.2.0018