Ali BM
2Division of neuro-critical care, Department of Neurology, Duke University Hospital. 2301 Erwin Rd, Durham NC 27710,
Tanzania
Case Report
Bilateral Vocal Cord Dysfunction in the Setting of Lateral Medullary
Infarction: A Case Report and Review of Neuro-Anatomical Correlate
Author(s): Ali BM, Waheed W, Aljerdi S, Vizzard MA and Gorman MAli BM, Waheed W, Aljerdi S, Vizzard MA and Gorman M
Background: Lateral medullary (Wallenberg) syndrome is the most common stroke syndrome related to vertebral artery disease. The hallmark of this syndrome is crossed sensory findings affecting the contralateral trunk and extremities and the ipsilateral side of the face. This is in addition to dysarthria, dysphagia, vertigo, and Horner's syndrome. Unilateral vocal cord dysfunction is frequently seen, but bilateral vocal cord paralysis is an extremely rare and potentially life threatening complication.
Case Presentation: We present the case of a 75 year-old man who presented with the diagnosis of acute lateral medullary (Wallenberg) syndrome, and experienced bilateral vocal cord paresis leading to acute airway obstruction.
Conclusion: We report a rare manifestation of acute ischemic stroke: bilateral vocal cord paresis... View More»
