Seo Joon Won, Park Ji Woong, Jang Jae Chil, Kim Jae Wook, Lee Yang Gyun, Kim Yun Tae, Lee Seok Min
Department of Physical Medicine and Rehabilitation, Soonchunhyang University College of Medicine, Seoul, Korea.
Ann Rehabil Med. 2013 Oct;37(5):717-20. doi: 10.5535/arm.2013.37.5.717. Epub 2013 Oct 29.
Anterior cervical osteophytes are common and usually asymptomatic in elderly people. Due to mechanical compressions, inflammations, and tissues swelling of osteophytes, patients may be presented with multiple complications, such as dysphagia, dysphonia, dyspnea, and pulmonary aspiration. Paradoxical vocal cord motion is an uncommon disease characterized by vocal cord adductions during inspiration and/or expiration. This condition can create shortness of breath, wheezing, respiratory stridor or breathy dysphonia. We report a rare case demonstrating combined symptoms of dyspnea, dysphonia as well as dysphagia at the same time in a patient with asymptomatic anterior cervical osteophytes. Moreover, this is the first report demonstrating that anterior osteophytes can be a possible etiological factor for paradoxical vocal cord motion that induces serious respiratory symptoms.
颈椎前缘骨赘在老年人中很常见，通常无症状。由于骨赘的机械压迫、炎症和组织肿胀，患者可能会出现多种并发症，如吞咽困难、声音嘶哑、呼吸困难和肺误吸。矛盾性声带运动是一种罕见的疾病，其特征是吸气和/或呼气时声带内收。这种情况会导致呼吸急促、喘息、呼吸喘鸣或呼吸性声音嘶哑。我们报告了一例罕见病例，一名无症状颈椎前缘骨赘患者同时出现呼吸困难、声音嘶哑和吞咽困难的联合症状。此外，这是第一份表明前缘骨赘可能是导致矛盾性声带运动并引发严重呼吸道症状的病因的报告。
