A case of vocal cord dysfunction in the emergency department
We describe the case of a 78-year-old woman admitted to our emergency department for an acute onset of severe dyspnoea with inspiratory wheezing-like sounds. She denied fever, cough, voice change and pain. She referred a similar but less severe episode occurred spontaneously one year before, with c...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2022-06-01
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| Series: | Emergency Care Journal |
| Subjects: | |
| Online Access: | https://www.pagepressjournals.org/index.php/ecj/article/view/10483 |
| _version_ | 1811332022674653184 |
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| author | Erika Poggiali Giuseppe Di Trapani Antonio Agosti Celestino Caiazza Alessandra Manicardi Chiara Zanzani Stefano Vollaro Andrea Vercelli |
| author_facet | Erika Poggiali Giuseppe Di Trapani Antonio Agosti Celestino Caiazza Alessandra Manicardi Chiara Zanzani Stefano Vollaro Andrea Vercelli |
| author_sort | Erika Poggiali |
| collection | DOAJ |
| description |
We describe the case of a 78-year-old woman admitted to our emergency department for an acute onset of severe dyspnoea with inspiratory wheezing-like sounds. She denied fever, cough, voice change and pain. She referred a similar but less severe episode occurred spontaneously one year before, with complete resolution in few minutes without sequelae. On examination upper airway obstruction was firstly excluded. She was initially treated as having asthma, without response. Parenteral high dose corticosteroids and antihistamines provided no benefit. Point-of-care-ultrasound resulted normal. Flexible laryngoscopy during the episode showed paradoxical vocal cord movement with adduction during both inspiration and expiration. This demonstrated that her dyspnoea was from Vocal Cord Dysfunction (VCD). VCD completely solved after administration of intravenous benzodiazepines.
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| first_indexed | 2024-04-13T16:29:38Z |
| format | Article |
| id | doaj.art-5d35031d6f674e8a97e800bae3c66bf1 |
| institution | Directory Open Access Journal |
| issn | 1826-9826 2282-2054 |
| language | English |
| last_indexed | 2024-04-13T16:29:38Z |
| publishDate | 2022-06-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Emergency Care Journal |
| spelling | doaj.art-5d35031d6f674e8a97e800bae3c66bf12022-12-22T02:39:37ZengPAGEPress PublicationsEmergency Care Journal1826-98262282-20542022-06-0118210.4081/ecj.2022.10483A case of vocal cord dysfunction in the emergency departmentErika Poggiali0Giuseppe Di Trapani1Antonio Agosti2Celestino Caiazza3Alessandra Manicardi4Chiara Zanzani5Stefano Vollaro6Andrea Vercelli7Emergency Department, “Guglielmo da Saliceto” Hospital, PiacenzaOtorhinolaryngology Unit, “Guglielmo da Saliceto” Hospital, PiacenzaEmergency Department, “Guglielmo da Saliceto” Hospital, PiacenzaEmergency Department, “Guglielmo da Saliceto” Hospital, PiacenzaIntensive Care Unit, Emergency Department, “Guglielmo da Saliceto” Hospital, PiacenzaIntensive Care Unit, Emergency Department, “Guglielmo da Saliceto” Hospital, PiacenzaNeurology Unit, “Guglielmo da Saliceto” Hospital, PiacenzaEmergency Department, “Guglielmo da Saliceto” Hospital, Piacenza We describe the case of a 78-year-old woman admitted to our emergency department for an acute onset of severe dyspnoea with inspiratory wheezing-like sounds. She denied fever, cough, voice change and pain. She referred a similar but less severe episode occurred spontaneously one year before, with complete resolution in few minutes without sequelae. On examination upper airway obstruction was firstly excluded. She was initially treated as having asthma, without response. Parenteral high dose corticosteroids and antihistamines provided no benefit. Point-of-care-ultrasound resulted normal. Flexible laryngoscopy during the episode showed paradoxical vocal cord movement with adduction during both inspiration and expiration. This demonstrated that her dyspnoea was from Vocal Cord Dysfunction (VCD). VCD completely solved after administration of intravenous benzodiazepines. https://www.pagepressjournals.org/index.php/ecj/article/view/10483Vocal cord dysfunctionupper airway obstructionrespiratory distressvocal cordVCD |
| spellingShingle | Erika Poggiali Giuseppe Di Trapani Antonio Agosti Celestino Caiazza Alessandra Manicardi Chiara Zanzani Stefano Vollaro Andrea Vercelli A case of vocal cord dysfunction in the emergency department Emergency Care Journal Vocal cord dysfunction upper airway obstruction respiratory distress vocal cord VCD |
| title | A case of vocal cord dysfunction in the emergency department |
| title_full | A case of vocal cord dysfunction in the emergency department |
| title_fullStr | A case of vocal cord dysfunction in the emergency department |
| title_full_unstemmed | A case of vocal cord dysfunction in the emergency department |
| title_short | A case of vocal cord dysfunction in the emergency department |
| title_sort | case of vocal cord dysfunction in the emergency department |
| topic | Vocal cord dysfunction upper airway obstruction respiratory distress vocal cord VCD |
| url | https://www.pagepressjournals.org/index.php/ecj/article/view/10483 |
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