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A Case of Airway Obstruction Caused by Bilateral Vocal Cord Palsy in a Patient with Lateral Medullary Infarction

Authors
 Seok Jong Chung  ;  Han Yi  ;  Tae Jin Song  ;  Dongbeom Song  ;  Hyo Suk Nam  ;  Ji Hoe Heo  ;  Young Dae Kim 
Citation
 Korean Journal of Stroke (대한뇌졸중학회지), Vol.14(2) : 89-91, 2012 
Journal Title
 Korean Journal of Stroke  (대한뇌졸중학회지) 
ISSN
 1229-4101 
Issue Date
2012
Abstract
Lateral medullary infarction can lead to central respiratory failure. However, in Wallenberg's syndrome, obstructive respiratory failure rarely develops. Here, we report a case of obstructive respiratory failure with stridor caused by unilateral lateral medullary infarction. A 74-year-old woman was admitted for acute right lateral medullary infarction. On the 12th day after the stroke, the patient developed respiratory failure necessitating endotracheal intubation. She could maintain good oxygen saturation and ventilation in intubated status without the assistance of mechanical ventilator, even during sleep. The pharyngo-laryngoscopy demonstrated the hypomobility of bilateral vocal cords. This case suggests that unilateral medullary infarction might be a cause of bilateral vocal cord palsy.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91347
DOI
10.5853/kjs.2012.14.2.89
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실)
Yonsei Authors
김영대(Kim, Young Dae) ; 남효석(Nam, Hyo Suk) ; 송동범(Song, Dong Beom) ; 송태진(Song, Tae Jin) ; 허지회(Heo, Ji Hoe)
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