Estridor y dificultad respiratoria: aproximación neurológica. Caso clínico

Paradoxical vocal cord motion or vocal cord dysfunction is a descriptive term for an inappropriate adduction of the vocal cords during respiration, which can cause respiratory obstruction and stridor. It is associated with psychiatric conditions in the great majority of cases. We report a 23 year-ol...

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Autores principales:	Cea M.,Gabriel, Henríquez,Claudio A., Tapia,Carlos
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2017
Materias:	Conversion Disorder Myasthenia Gravis Vocal Cord Dysfunction
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000600808
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spelling	oai:scielo:S0034-988720170006008082017-11-17Estridor y dificultad respiratoria: aproximación neurológica. Caso clínicoCea M.,GabrielHenríquez,Claudio A.Tapia,Carlos Conversion Disorder Myasthenia Gravis Vocal Cord Dysfunction Paradoxical vocal cord motion or vocal cord dysfunction is a descriptive term for an inappropriate adduction of the vocal cords during respiration, which can cause respiratory obstruction and stridor. It is associated with psychiatric conditions in the great majority of cases. We report a 23 year-old high performance female athlete, referred for a recurrent bilateral paralysis of the vocal cords, with a history of four intensive care unit admissions for severe dyspnea and stridor, which were treated several times with intubation and with tracheostomy on two occasions. Myasthenia gravis was suspected and she was treated with pyridostigmine and prednisone. She was discharged but despite the treatment, she presented new episodes of stridor and was readmitted six months later. This time the pharmacological treatment was suspended. The neurological study disclosed a normal brain magnetic resonance, normal cerebrospinal fluid analysis and a normal electromyography. A conversion disorder was suspected and the patient was successfully treated with psychotherapy.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.145 n.6 20172017-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000600808es10.4067/s0034-98872017000600808
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Conversion Disorder Myasthenia Gravis Vocal Cord Dysfunction
spellingShingle	Conversion Disorder Myasthenia Gravis Vocal Cord Dysfunction Cea M.,Gabriel Henríquez,Claudio A. Tapia,Carlos Estridor y dificultad respiratoria: aproximación neurológica. Caso clínico
description	Paradoxical vocal cord motion or vocal cord dysfunction is a descriptive term for an inappropriate adduction of the vocal cords during respiration, which can cause respiratory obstruction and stridor. It is associated with psychiatric conditions in the great majority of cases. We report a 23 year-old high performance female athlete, referred for a recurrent bilateral paralysis of the vocal cords, with a history of four intensive care unit admissions for severe dyspnea and stridor, which were treated several times with intubation and with tracheostomy on two occasions. Myasthenia gravis was suspected and she was treated with pyridostigmine and prednisone. She was discharged but despite the treatment, she presented new episodes of stridor and was readmitted six months later. This time the pharmacological treatment was suspended. The neurological study disclosed a normal brain magnetic resonance, normal cerebrospinal fluid analysis and a normal electromyography. A conversion disorder was suspected and the patient was successfully treated with psychotherapy.
author	Cea M.,Gabriel Henríquez,Claudio A. Tapia,Carlos
author_facet	Cea M.,Gabriel Henríquez,Claudio A. Tapia,Carlos
author_sort	Cea M.,Gabriel
title	Estridor y dificultad respiratoria: aproximación neurológica. Caso clínico
title_short	Estridor y dificultad respiratoria: aproximación neurológica. Caso clínico
title_full	Estridor y dificultad respiratoria: aproximación neurológica. Caso clínico
title_fullStr	Estridor y dificultad respiratoria: aproximación neurológica. Caso clínico
title_full_unstemmed	Estridor y dificultad respiratoria: aproximación neurológica. Caso clínico
title_sort	estridor y dificultad respiratoria: aproximación neurológica. caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2017
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000600808
work_keys_str_mv	AT ceamgabriel estridorydificultadrespiratoriaaproximacionneurologicacasoclinico AT henriquezclaudioa estridorydificultadrespiratoriaaproximacionneurologicacasoclinico AT tapiacarlos estridorydificultadrespiratoriaaproximacionneurologicacasoclinico
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Estridor y dificultad respiratoria: aproximación neurológica. Caso clínico

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