title: Paradoxical vocal cord motion--haloperidol usage in acute attack treatment.
abstract: Paradoxical vocal cord motion (PVCM) is an uncommon disease characterized by vocal cord adduction during inspiration and/or expiration. It can create shortness of breath, wheezing, respiratory stridor, or breathy dysphonia. Possible etiological factors include asthma, underlying psychologic condition, gastroesophageal acid reflux disease, respiratory irritants exposure, central neurologic diseases, viral upper airway infections, and postsurgical procedures. Many treatment modalities were performed for acute attack of PVCM, including reassurance and onsite maneuvers, benzodiazepines, heliox, and so forth. We report a patient with PVCM who had stridor and dyspnea for 10 days and responded to intravenous haloperidol treatment.
authors.affiliation: Otorhinolaryngology Department, Cerrahpasa Medicine Faculty, Istanbul University, Istanbul, Turkey.
authors.forename: Emin
authors.initials: E
authors.lastname: Karaman
authors.forename: Cihan
authors.initials: C
authors.lastname: Duman
authors.forename: Yalcin
authors.initials: Y
authors.lastname: Alimoglu
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Isildak
authors.forename: Ferhan
authors.initials: F
authors.lastname: Oz
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D014150:Antipsychotic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D004417:Dyspnea / Q000188:drug therapy; D006220:Haloperidol / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D007275:Injections, Intravenous; D007818:Laryngeal Diseases / Q000188:drug therapy*; D007826:Laryngismus / Q000188:drug therapy; D008297:Male; D009465:Neuromuscular Agents / Q000627:therapeutic use; D012135:Respiratory Sounds / Q000187:drug effects; D014140:Tracheotomy; D014827:Vocal Cords / Q000187:drug effects*
chemical_list: D014150:Antipsychotic Agents; D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A; D006220:Haloperidol