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

Year 2011, Volume: 38 Issue: 2, 222 - 224, 01.06.2011
https://doi.org/10.5798/diclemedj.0921.2011.02.0018

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.

References

  • Hillel AD, Benninger M, Blitzer A, et al. Evaluation and management of bilateral vocal cord immobility. Otolaryn- gol Head Neck Surg 1999;121(8):760-5.
  • Manski TJ, Wood MD, Dunskr SB. Bilateral vocal cord pa- ralysis following cervical discectomy and fussion. J Neuro- surg 1998;89(10):839-43.
  • Aydin K, Ulug T, Simsek T. Bilateral vocal cord paraly- sis caused by cervikal spinal osteophytes. British J Rad 2002;75(9):990-3.
  • Ito Y, Mori A, Yonemura K, Hashimato Y, Hirano T, Uchino M. Upper airway obstruction with bilateral vocal cord pa- ralysis secondary to ischemic stroke: report of two cases. Rinsho Shinkeigaku 2008;48(4):333-7.
  • Benninger MS, Gillen JB, Altman JS. Changing etiology of vocal fold immobility. Laryngoscope 1998;108(12):1346- 50.
  • Hollinger LD, Hollinger PC, Hollinger PH. Etiology of bilat- eral abductor vocal cord paralysis. A review of 389 cases. Ann Otol Rhinol Laryngol 1976;85(5):428-36.

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

Year 2011, Volume: 38 Issue: 2, 222 - 224, 01.06.2011
https://doi.org/10.5798/diclemedj.0921.2011.02.0018

Abstract

İki taraflı ses teli felci (İSTF) sıklıkla tiroid ve paratiroid cerrahisi gibi iyatrojenik bir hasar sonucu oluşur. Fakat serebral infarkt sonrası hava yolu tıkanıklığına neden olan İSTF nadir olarak bildirilmiştir. Bu yazıda tekrarlayan serebral infarktın, geç ortaya çıkan ve hayatı tehdit eden bir komplikasyonu olarak solunum durması ile sonuçlanan bir İSTF olgusu sunduk. Atmış yedi yaşında erkek hasta, son 3-4 aydır giderek artan solunum yetmezliği şikayetiy­le acil servisimize başvurdu. Özgeçmişinde kalp yetmez­liği ve kronik obstruktif akciğer hastalığı öyküsü olmayan hasta, yaklaşık bir yıl önce bir ayda iki kez serebral infarkt geçirmişti. Yapılan solunum sistemi muayenesinde bilate­ral wheezing ve stridor; nörolojik muayenesinde ise sağ tarafta kuvvet kaybı mevcuttu. Üst solunum yolu obstruk­siyonunu değerlendirilmek üzere endoskopik laringoskopi yapıldı. Laringoskopide iki taraflı ses tellerinin orta hatta sabit ve hareketsiz olduğu görüldü. Solunum yetmezli­ğinde artma ve tekrarlayan solunum durması nedeniyle hastaya trakeostomi açıldı. Operasyon sonrası hastanın solunum yetmezliği geriledi. Solunum fonksiyonları nor­male dönen hasta taburcu edildi.

References

  • Hillel AD, Benninger M, Blitzer A, et al. Evaluation and management of bilateral vocal cord immobility. Otolaryn- gol Head Neck Surg 1999;121(8):760-5.
  • Manski TJ, Wood MD, Dunskr SB. Bilateral vocal cord pa- ralysis following cervical discectomy and fussion. J Neuro- surg 1998;89(10):839-43.
  • Aydin K, Ulug T, Simsek T. Bilateral vocal cord paraly- sis caused by cervikal spinal osteophytes. British J Rad 2002;75(9):990-3.
  • Ito Y, Mori A, Yonemura K, Hashimato Y, Hirano T, Uchino M. Upper airway obstruction with bilateral vocal cord pa- ralysis secondary to ischemic stroke: report of two cases. Rinsho Shinkeigaku 2008;48(4):333-7.
  • Benninger MS, Gillen JB, Altman JS. Changing etiology of vocal fold immobility. Laryngoscope 1998;108(12):1346- 50.
  • Hollinger LD, Hollinger PC, Hollinger PH. Etiology of bilat- eral abductor vocal cord paralysis. A review of 389 cases. Ann Otol Rhinol Laryngol 1976;85(5):428-36.
There are 6 citations in total.

Details

Primary Language Turkish
Journal Section Case Reports
Authors

Elif Önder This is me

Gökhan Celbek This is me

Adem Gungor This is me

Talha Dumlu This is me

Seher Kır This is me

Yusuf Aydın This is me

Süleyman Yılmaz This is me

Publication Date June 1, 2011
Submission Date March 2, 2015
Published in Issue Year 2011 Volume: 38 Issue: 2

Cite

APA Önder, E., Celbek, G., Gungor, A., Dumlu, T., et al. (2011). A rare complication of recurrent cerebrovascular infarct: Bilateral vocal cord paralysis. Dicle Tıp Dergisi, 38(2), 222-224. https://doi.org/10.5798/diclemedj.0921.2011.02.0018
AMA Önder E, Celbek G, Gungor A, Dumlu T, Kır S, Aydın Y, Yılmaz S. A rare complication of recurrent cerebrovascular infarct: Bilateral vocal cord paralysis. diclemedj. June 2011;38(2):222-224. doi:10.5798/diclemedj.0921.2011.02.0018
Chicago Önder, Elif, Gökhan Celbek, Adem Gungor, Talha Dumlu, Seher Kır, Yusuf Aydın, and Süleyman Yılmaz. “A Rare Complication of Recurrent Cerebrovascular Infarct: Bilateral Vocal Cord Paralysis”. Dicle Tıp Dergisi 38, no. 2 (June 2011): 222-24. https://doi.org/10.5798/diclemedj.0921.2011.02.0018.
EndNote Önder E, Celbek G, Gungor A, Dumlu T, Kır S, Aydın Y, Yılmaz S (June 1, 2011) A rare complication of recurrent cerebrovascular infarct: Bilateral vocal cord paralysis. Dicle Tıp Dergisi 38 2 222–224.
IEEE E. Önder, “A rare complication of recurrent cerebrovascular infarct: Bilateral vocal cord paralysis”, diclemedj, vol. 38, no. 2, pp. 222–224, 2011, doi: 10.5798/diclemedj.0921.2011.02.0018.
ISNAD Önder, Elif et al. “A Rare Complication of Recurrent Cerebrovascular Infarct: Bilateral Vocal Cord Paralysis”. Dicle Tıp Dergisi 38/2 (June 2011), 222-224. https://doi.org/10.5798/diclemedj.0921.2011.02.0018.
JAMA Önder E, Celbek G, Gungor A, Dumlu T, Kır S, Aydın Y, Yılmaz S. A rare complication of recurrent cerebrovascular infarct: Bilateral vocal cord paralysis. diclemedj. 2011;38:222–224.
MLA Önder, Elif et al. “A Rare Complication of Recurrent Cerebrovascular Infarct: Bilateral Vocal Cord Paralysis”. Dicle Tıp Dergisi, vol. 38, no. 2, 2011, pp. 222-4, doi:10.5798/diclemedj.0921.2011.02.0018.
Vancouver Önder E, Celbek G, Gungor A, Dumlu T, Kır S, Aydın Y, Yılmaz S. A rare complication of recurrent cerebrovascular infarct: Bilateral vocal cord paralysis. diclemedj. 2011;38(2):222-4.