Psychogenic stridor: diagnosis and management

Area of Science:

• Otolaryngology
• Pulmonology
• Psychosomatic Medicine

Background:

• Psychogenic stridor is a rare condition that presents as acute upper airway obstruction.
• It is often misdiagnosed as organic pathology, leading to potentially harmful interventions.
• The condition typically affects young adult females.

Observation:

• Patients present with alarming inspiratory stridor.
• A thorough medical history may suggest a psychogenic cause.
• Fiberoptic nasendoscopy is crucial for diagnosis.

Findings:

• The hallmark finding is paradoxical vocal cord adduction during inspiration.
• This characteristic laryngeal abnormality explains the stridor.
• Early diagnosis through laryngeal examination is key.

Implications:

• Accurate diagnosis of psychogenic stridor can prevent unnecessary medical interventions.
• Understanding the pathophysiology aids in appropriate patient management.
• This condition highlights the interplay between psychological factors and respiratory symptoms.