Idiopathic bilateral abductor cord palsy-can it be the cause of obstructive sleep apnea?

We describe a case of 27 year old male who presented with history of breathing difficulty with episodes of apnea for 8 years. He was suspected to have obstructive sleep apnea and a nocturnal polysomnography showed Apnea-Hypopnea index of 34/hour and the lowest oxygen saturation of 78% and severe sno...

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Main Authors: Roshan Verma, Reshma Raj
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Sleep Medicine: X
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590142723000125
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author Roshan Verma
Reshma Raj
author_facet Roshan Verma
Reshma Raj
author_sort Roshan Verma
collection DOAJ
description We describe a case of 27 year old male who presented with history of breathing difficulty with episodes of apnea for 8 years. He was suspected to have obstructive sleep apnea and a nocturnal polysomnography showed Apnea-Hypopnea index of 34/hour and the lowest oxygen saturation of 78% and severe snoring in the night. Continuous positive airway pressure (CPAP) machine was advised from local hospital and he used for 2 month. Indirect laryngoscopy done showed bilateral abductor cord palsy. Contrast enhanced magnetic resonance imaging (CEMRI) of brain and contrast enhanced computed tomography (CECT) of chest and neck was normal study. Posterior cordotomy of left cord was done using coblation with resolution of symptoms of OSA.Repeat nocturnal polysomnography showed apnea/hypopnea index 5 and lowest oxygen saturation of 95%.
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spelling doaj.art-192e3a95f4f44c5bb874269006bdcc772023-06-22T05:04:43ZengElsevierSleep Medicine: X2590-14272023-12-015100072Idiopathic bilateral abductor cord palsy-can it be the cause of obstructive sleep apnea?Roshan Verma0Reshma Raj1Corresponding author. Department of Otolaryngology, Head and Neck surgery Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.; Dept. of Otolaryngology and Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDept. of Otolaryngology and Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaWe describe a case of 27 year old male who presented with history of breathing difficulty with episodes of apnea for 8 years. He was suspected to have obstructive sleep apnea and a nocturnal polysomnography showed Apnea-Hypopnea index of 34/hour and the lowest oxygen saturation of 78% and severe snoring in the night. Continuous positive airway pressure (CPAP) machine was advised from local hospital and he used for 2 month. Indirect laryngoscopy done showed bilateral abductor cord palsy. Contrast enhanced magnetic resonance imaging (CEMRI) of brain and contrast enhanced computed tomography (CECT) of chest and neck was normal study. Posterior cordotomy of left cord was done using coblation with resolution of symptoms of OSA.Repeat nocturnal polysomnography showed apnea/hypopnea index 5 and lowest oxygen saturation of 95%.http://www.sciencedirect.com/science/article/pii/S2590142723000125Idiopathic bilateral abductor cord palsyNocturnal stridorOSACoblation assisted posterior cordectomy and arytenoidectomy
spellingShingle Roshan Verma
Reshma Raj
Idiopathic bilateral abductor cord palsy-can it be the cause of obstructive sleep apnea?
Sleep Medicine: X
Idiopathic bilateral abductor cord palsy
Nocturnal stridor
OSA
Coblation assisted posterior cordectomy and arytenoidectomy
title Idiopathic bilateral abductor cord palsy-can it be the cause of obstructive sleep apnea?
title_full Idiopathic bilateral abductor cord palsy-can it be the cause of obstructive sleep apnea?
title_fullStr Idiopathic bilateral abductor cord palsy-can it be the cause of obstructive sleep apnea?
title_full_unstemmed Idiopathic bilateral abductor cord palsy-can it be the cause of obstructive sleep apnea?
title_short Idiopathic bilateral abductor cord palsy-can it be the cause of obstructive sleep apnea?
title_sort idiopathic bilateral abductor cord palsy can it be the cause of obstructive sleep apnea
topic Idiopathic bilateral abductor cord palsy
Nocturnal stridor
OSA
Coblation assisted posterior cordectomy and arytenoidectomy
url http://www.sciencedirect.com/science/article/pii/S2590142723000125
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AT reshmaraj idiopathicbilateralabductorcordpalsycanitbethecauseofobstructivesleepapnea