An unusual cause of stridor in a neonate

Abstract

We report an unusual case of unilateral vocal fold palsy due to intracranial haemorrhage in a neonate with undiagnosed haemophilia A. Bleeding disorders in neonates are briefly discussed and the importance of a systemic investigation of stridor in children is emphasized.

Perinatal management of newborns with haemophilia

“…Symptoms of ICH may be dramatic and include seizures (generalized and focal), paralysis, hypertonia, pupillary changes and, rarely, stridor as a result of vocal cord paralysis (Fah & Tan, 1994). ICH may mimic sepsis and/ or disseminated intravascular coagulopathy (DIC) or meningitis (Schmidt & Zipursky, 1986).…”