Beka Despoina, Marogianni Chrysoula, Ralli Styliani, Karyda Ourania, Hatziioannou Jiannis, Hadjiigeorgiou Georgios M, Dardiotis Efthimios, Bizakis Ioannis, Skoulakis Charalampos E, Lachanas Vasileios A
Department of Otorhinolaryngology, General Hospital Asklepieion of Voula, Greece.
Department of Neurology, University of Thessaly, University Hospital of Larissa, Greece.
Maedica (Bucur). 2022 Mar;17(1):230-233. doi: 10.26574/maedica.2022.17.1.230.
Bilateral vocal cord paresis is a rare phenomenon caused by different underlying etiologies. Myasthenia gravis is included in this long differential diagnosis. Usually, it happens as part of a serious clinical state of a patient, that also suffers from generalized muscle weakness, diplopia, dysphagia, eyelid ptosis. In our case, a 58-year-old woman presented in the emergency room with solely dyspnea, caused by bilateral cord palsy, and that appeared to be the only symptom of thymoma associated-myasthenia gravis. Another interesting fact about this case is the quick recovery and no need for tracheostomy and intubation in the first hours of her admission to hospital.
双侧声带麻痹是一种由不同潜在病因引起的罕见现象。重症肌无力也在这一冗长的鉴别诊断范围内。通常，它是患者严重临床状态的一部分，患者还会出现全身肌无力、复视、吞咽困难、眼睑下垂。在我们的病例中，一名58岁女性因双侧声带麻痹导致单纯性呼吸困难而就诊于急诊室，这似乎是胸腺瘤相关重症肌无力的唯一症状。关于该病例的另一个有趣事实是，患者入院后的最初几个小时内恢复迅速，无需气管切开和插管。
