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Paradoxical Vocal Cord Motion in a Pair of Twin Preterm Infants
Jayasree Chandramati1, Abdul Majeed2, Ashwin Prabhu1
1Division of Neonatology, Amrita Institute of Medical Sciences, Amrita University, Kochi, India.
Background:
Intractable obstructive apneas requiring multiple intubations are rare in newborns.
Case Characteristics:
We report a pair of twins born at 29 weeks gestation who had severe obstructive apneas due to Paradoxical Vocal Cord Motion (PVCM).
Outcome:
The symptoms resolved promptly with ipratropium nebulization. Follow-up at 12 months of age revealed normal development.
Message:
PVCM should be considered in the differential diagnosis of intractable obstructive apneas in very low birth weight preterm infants.
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