Benign paradoxical vocal cord adduction presenting acute stridor

M. C. Mullinax, W. F. Kuhn

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

We present a case of ‘benign paradoxical vocal cord adduction’ presenting to the emergency department as acute stridor. This patient received direct laryngoscopy at initial presentation documenting inspiratory vocal cord adduction. The syndrome is not well known to emergency physicians and, because it often mimics life-threatening airway compromise, prompt recognition of the benign nature of this syndrome may avert more aggressive airway interventions such as beta agonists, steroids, endotracheal intubation and tracheostomy. Successful treatment has included relaxation, sedatives and speech therapy to abort the acute attack and prevent further recurrence. As direct flexible laryngoscopy is more readily available in the emergency department, goals for the future are more rapid diagnosis and appropriate treatment of this benign syndrome.

Original languageEnglish (US)
Pages (from-to)102-105
Number of pages4
JournalEuropean Journal of Emergency Medicine
Volume3
Issue number2
DOIs
StatePublished - Jan 1 1996

Keywords

  • Christopher’s syndrome
  • Flexible laryngoscopy
  • Paradoxical vocal cord adduction
  • Stridor

ASJC Scopus subject areas

  • Emergency Medicine

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