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Related Experiment Videos

Bilateral vocal fold paresis and multiple system atrophy.

Joel H Blumin1, Gerald S Berke

  • 1PENN Center for Voice, Pennsylvania Hospital, 800 Spruce St, Philadelphia, PA 19107, USA. bluminj@pahosp.com

Archives of Otolaryngology--Head & Neck Surgery
|December 17, 2002
PubMed
Summary

Patients with neurodegenerative diseases may develop vocal fold paresis, causing breathing issues. Early diagnosis of conditions like multiple system atrophy is crucial for timely treatment and to prevent life-threatening airway obstruction.

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Area of Science:

  • Neurology
  • Otolaryngology
  • Sleep Medicine

Background:

  • Systemic neurodegenerative diseases can manifest with voice disorders.
  • Dysphonia is a common symptom requiring otolaryngological evaluation.

Observation:

  • A case series identified bilateral vocal fold paresis in patients with neurodegenerative disorders.
  • Sleep-disordered breathing and stridor were reported in all affected patients.

Findings:

  • Multiple system atrophy was diagnosed in 71% of patients with vocal fold paresis.
  • Bilateral abductor vocal fold paresis was observed in seven patients over two years.

Implications:

  • Systemic neurodegenerative disease evaluation should include assessment for vocal fold paresis.

Related Experiment Videos

  • Polysomnography is recommended for patients with stridor.
  • Treatment options for glottic obstruction include CPAP or tracheotomy.