Paradoxic Vocal Cord Syndrome With Surgical Cure

Patton, Henry S.; DiBenedetto, Robert J.; Downing, Edward F.; Zöller, M.; Morgan, Katherine A.

doi:10.1097/00007611-198702000-00031

Cited by 9 publications

(6 citation statements)

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“…Paradoxical vocal cord motion may be a heralding sign of progressive brainstem compression, a symptom of neurologic compromise, 1‐4 a form of movement disorder, 5‐7 or a manifestation of a functional disorder 8‐13 . Each of these causes of PVCM has been described in the literature, but a comprehensive classification scheme differentiating them has not yet been developed.…”

Section: Discussionmentioning

confidence: 99%

“…Brainstem compression. Although brainstem compression is a well‐recognized cause of bilateral true vocal cord paralysis in infants, the manifestation of PVCM has only been reported in one adult patient with a large arachnoid cyst in the posterior fossa 2 . From 1991 to 1993 we diagnosed three pediatric patients with PVCM attributable to Arnold‐Chiari malformation (two) and cerebral aqueductal stenosis (one).…”

Section: Characteristic Featuresmentioning

confidence: 99%

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A Classification Scheme for Paradoxical Vocal Cord Motion

et al. 1997

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Paradoxical vocal cord motion (PVCM) is characterized by the inappropriate adduction of the true vocal cords during inspiration. Multiple causes have been proposed for this group of disorders, which share the common finding of mobile vocal cords that adduct inappropriately during inspiration and cause stridor by approximation. Management of this group of disorders has been complicated by the lack of a classification scheme to include all types of PVCM. We propose that PVCM be classified according to its underlying etiology and recognize the following causes of the disorder: 1. brainstem compression; 2. cortical or upper motor neuron injury; 3. nuclear or lower motor neuron injury; 4. movement disorder; 5. gastroesophageal reflux; 6. factitious or malingering disorder; 7. somatization/conversion disorder. Case reports are presented to illustrate the characteristic features and diagnostic evaluation used in assessing patients with PVCM. Management varies depending on the cause of PVCM and entails speech therapy, pharmacologic therapy, behavioral modification, and/or surgical intervention. Recognition of the multiple causes of PVCM allows otolaryngologists to formulate well-directed diagnostic evaluation and treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Characteristic Featuresmentioning

confidence: 99%

A Classification Scheme for Paradoxical Vocal Cord Motion

et al. 1997

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“…110 Inspiratory vocal cord closure has been reported in association with a posterior fossa arachnoid cyst and brainstem abnormalities manifested by cranial nerve palsies. 42,111 Any patient with established neurologic diseases with suspected glottic dysfunction should fi rst be evaluated for associated vocal cord paralysis or paresis. Recent reviews misclassify VCD with underlying neurologic diseases, such as Charcot-Marie-Tooth, as "vocal cord dysfunction."…”

Section: Vcd and Asthmamentioning

confidence: 99%

Diagnostic Criteria for the Classification of Vocal Cord Dysfunction

Morris

Christopher

2010

Chest

189

137

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“…32 VCD has been reported in association with a posterior fossa arachnoid cyst and also brainstem abnormalities manifested by cranial nerve palsies. 56,90 Patients with neurologic deficits should have central nervous system abnormalities ruled out before a diagnosis of VCD can be established.…”

Section: Differential Diagnosismentioning

confidence: 99%

Vocal Cord Dysfunction

Morris¹,

Allan²,

Perkins³

2006

Clinical Pulmonary Medicine

109

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Vocal cord dysfunction, a syndrome of paradoxical inspiratory closure of the vocal cords, is becoming more frequently recognized and diagnosed recently since its initial modern description 30 years ago. Initially described as single case reports, the first case series in 1983 helped to clarify the typical patient and findings of vocal cord dysfunction. Recent investigations have elucidated specific etiologies such as gastroesophageal reflux, exercise, and irritants as causative factors in addition to the numerous associated psychologic factors. Speech therapy and psychotherapy have been used extensively with vocal cord dysfunction patients, but the optimal treatment has yet to be prospectively studied. This manuscript provides a comprehensive review of the reported causative factors and treatments for vocal cord dysfunction.

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Paradoxic Vocal Cord Syndrome With Surgical Cure

Cited by 9 publications

References 0 publications

A Classification Scheme for Paradoxical Vocal Cord Motion

A Classification Scheme for Paradoxical Vocal Cord Motion

Diagnostic Criteria for the Classification of Vocal Cord Dysfunction

Vocal Cord Dysfunction

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