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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, Vol.14(2) : 89-91, 2012 
Journal Title
 Korean Journal of Stroke (대한뇌졸중학회지) 
ISSN
 1229-4101 
Issue Date
2012
Keywords
Vocal cord paralysis ; Brain stem infarctions ; Medulla oblongata ; Respiratory insufficiency
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.
Files in This Item:
T201205313.pdf Download
DOI
10.5853/kjs.2012.14.2.89
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Young Dae(김영대) ORCID logo https://orcid.org/0000-0001-5750-2616
Nam, Hyo Suk(남효석) ORCID logo https://orcid.org/0000-0002-4415-3995
Song, Dong Beom(송동범)
Song, Tae Jin(송태진)
Chung, Seok Jong(정석종) ORCID logo https://orcid.org/0000-0001-6086-3199
Heo, Ji Hoe(허지회) ORCID logo https://orcid.org/0000-0001-9898-3321
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91347
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