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Acute acromegalic dyspnea

M Dujovny, C P Osgood, R Segal

    The Laryngoscope
    |September 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    A rare case of acromegalic dyspnea caused by vocal cord fixation and subglottic mucosal hypertrophy was successfully treated. The treatment involved intubation, tracheostomy, and stereotactic radioisotope implantation via the transsphenoidal route.

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    Area of Science:

    • Otorhinolaryngology
    • Endocrinology
    • Neurosurgery

    Background:

    • Acromegaly, a disorder caused by excess growth hormone, can lead to various complications.
    • Airway compromise is a potential, though uncommon, manifestation of acromegaly.
    • Vocal cord fixation and subglottic mucosal hypertrophy are specific laryngeal pathologies.

    Observation:

    • A patient presented with acute dyspnea, a critical symptom indicating respiratory distress.
    • Physical examination and diagnostic imaging revealed vocal cord fixation and subglottic mucosal hypertrophy.
    • These laryngeal abnormalities were directly linked to the patient's acromegaly.

    Findings:

    • The case highlights acute acromegalic dyspnea as a distinct clinical entity.
    • Successful management was achieved through a multi-step approach.

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  • The transsphenoidal route facilitated stereotactic radioisotope implantation.

    • Implications:

    • This case expands the understanding of acromegaly's respiratory complications.
    • It demonstrates the efficacy of a combined surgical and radiological treatment strategy.
    • Highlights the importance of considering airway evaluation in acromegaly patients with respiratory symptoms.