Bilateral vocal cord paralysis after severe blunt head injury--a cause of failed extubation.
A case of posterior fossa epidural hematoma causing bilateral vocal cord paralysis (BVCP) is presented. BVCP was responsible for two failed trials of extubation. For this reason and for long-term management, tracheostomy was performed. Laryngeal function returned 40 days after injury, allowing rapid decannulation.
D002648:Child; D003388:Cranial Fossa, Posterior; D006407:Hematoma, Epidural, Cranial / Q000150:complications*; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D012887:Skull Fractures / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014140:Tracheotomy; D014826:Vocal Cord Paralysis / Q000209:etiology*; D014949:Wounds, Nonpenetrating / Q000150:complications