Document Detail


Paradoxical vocal cord motion--a dangerous imitator of airway emergencies.
MedLine Citation:
PMID:  17323676     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of stridor in a 32 year old woman. Initial laryngoscopy demonstrated adduction of the vocal cords on inspiration, which reverted to abduction on induction of general anaesthesia. The airway was structurally normal. The most likely diagnosis was paradoxical vocal cord motion, a condition in which psychological stress can precipitate respiratory symptoms and signs due to involuntary adduction of the vocal cords during inspiration. Its importance to the anaesthetist lies in its ability to masquerade as a serious airway or respiratory condition.
Authors:
A Harmon; D C S Khursandi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  35     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-02-27     Completed Date:  2007-04-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  105-9     Citation Subset:  IM    
Affiliation:
Wesley Anaesthesia and Pain Management, Wesley Hospital, Brisbane, Queensland, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Conversion Disorder / diagnosis
Emergencies
Female
Hoarseness / etiology,  psychology,  therapy*
Humans
Intubation
Laryngoscopy
Respiratory Sounds / diagnosis*
Treatment Refusal
Vocal Cords / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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