Vocal cord paralysis in the Shy-Drager syndrome. A cause of postoperative respiratory obstruction.
A case is presented in which unexpected and persistent postoperative respiratory problems led to the finding of bilateral abductor vocal cord paralysis and confirmed the diagnosis of the Shy-Drager syndrome. Anaesthetists should be aware that vocal cord paralysis may be a feature of this uncommon condition, and should consider the possibility of glottic obstruction as a cause of ventilatory difficulties.
Drury
P M
PM
Intensive Therapy Unit, Royal Liverpool Hospital.
Williams
E G
EG
D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012131:Respiratory Insufficiency / Q000209:etiology*; D012791:Shy-Drager Syndrome / Q000150:complications* / Q000175:diagnosis; D014826:Vocal Cord Paralysis / Q000209:etiology*