A Cerebrovascular Accident Presenting With Bilateral Vocal Cord Paresis.
bilateral vocal cord paralysis
bilateral vocal cord paresis
cerebellar hemorrhage
cerebrovascular accident (stroke)
stridor
stroke
vocal cord paralysis
vocal cord paresis
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
accepted:
08
09
2021
entrez:
18
10
2021
pubmed:
19
10
2021
medline:
19
10
2021
Statut:
epublish
Résumé
Diagnosing a stroke requires careful attention to clinical indicators on physical exam, especially the more subtle manifestations of cerebellar lesions. An 85-year-old male with vascular risk factors and new-onset atrial fibrillation was admitted for left upper extremity weakness, headaches, and tremors. The patient developed stridor during hospitalization and was found to have a new cerebellar infarct with hemorrhagic transformation on computed tomography (CT) of the head, with laryngoscopy showing bilateral vocal cord paresis. While strokes outside of the cerebellum are a known cause of unilateral vocal cord paresis, cerebellar strokes are a rare culprit and rarely cause bilateral cord paresis. Consideration beyond the more common pulmonary and iatrogenic causes of vocal cord paresis should be considered, with particular attention to stroke.
Identifiants
pubmed: 34660047
doi: 10.7759/cureus.17840
pmc: PMC8501465
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e17840Informations de copyright
Copyright © 2021, Wiseman et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Cerebrovasc Dis. 2013;35(4):378-84
pubmed: 23635415
Cerebrovasc Dis. 1999 May-Jun;9(3):157-62
pubmed: 10207208
Eur Neurol. 2017;77(3-4):137-146
pubmed: 28095387
Adv Emerg Nurs J. 2017 Jul/Sep;39(3):184-192
pubmed: 28759510
Neurol Int. 2019 Jun 18;11(2):7941
pubmed: 31281599
Dysphagia. 2010 Sep;25(3):177-82
pubmed: 19760459
Medicine (Abingdon). 2020 Sep;48(9):561-566
pubmed: 32837228
Neurol Clin. 2014 Nov;32(4):993-1007
pubmed: 25439293