Recurrent stridor in an infant
Document Type
Article
Publication Date
9-1-2021
Abstract
Paediatric upper airway obstruction is an emergency that requires immediate intervention. Among the myriad factors that leads to upper airway obstruction in paediatric age group, bilateral vocal cord palsy is not commonly encountered in clinical practice. The underlying cause of bilateral vocal cord palsy requires thorough investigation prior to deciding on the appropriate intervention. Herein, we report a 4-month-old baby boy who presented with recurrent inspiratory stridor with bilateral vocal cord palsy secondary to Arnold Chiari II malformation. Immediate intervention to drain the hydrocephalous resulted in complete resolution of stridor without having to perform a tracheostomy. We highlight the importance of meticulous and thorough investigations especially in children, as emergent airway intervention such as tracheostomy may result in detrimental effect to speech, swallowing as well as quality of life.
Keywords
Paediatrics, Congenital disorders, Ear nose and throat, Otolaryngology
Divisions
fac_med
Publication Title
BMJ Case Reports
Volume
14
Issue
9
Publisher
BMJ Publishing Group