Paradoxical Vocal Cord Motion in a Pair of Twin Preterm Infants

Background Intractable obstructive apneas requiring multiple intubations are rare in newborns. Case characteristics We report a pair of twins born at 29 weeks gestation who had severe obstructive apneas due to Paradoxical Vocal Cord Motion (PVCM). Outcome The symptoms resolved promptly with ipratrop...

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Bibliographic Details
Published inIndian pediatrics Vol. 55; no. 10; pp. 905 - 906
Main Authors Chandramati, Jayasree, Majeed, Abdul, Prabhu, Ashwin, Ponthenkandath, Sasidharan
Format Journal Article
LanguageEnglish
Published New Delhi Springer India 01.10.2018
Subjects
Administration, Inhalation
Apnea - drug therapy
Apnea - etiology
Bronchodilator Agents - administration & dosage
Case Report
Female
Humans
Infant, Newborn
Infant, Premature
Ipratropium - administration & dosage
Laryngoscopy - methods
Maternal and Child Health
Medicine
Medicine & Public Health
Pediatric Surgery
Pediatrics
Twins
Vocal Cord Dysfunction - complications
Vocal Cord Dysfunction - diagnosis
Vocal Cord Dysfunction - drug therapy
Vocal Cords
Apnea
Ipratropium
Neonate
Prematurity
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Summary:Background Intractable obstructive apneas requiring multiple intubations are rare in newborns. Case characteristics We report a pair of twins born at 29 weeks gestation who had severe obstructive apneas due to Paradoxical Vocal Cord Motion (PVCM). Outcome The symptoms resolved promptly with ipratropium nebulization. Follow-up at 12 months of age revealed normal development. Message PVCM should be considered in the differential diagnosis of intractable obstructive apneas in very low birth weight preterm infants.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ObjectType-Report-1
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ISSN:0019-6061
0974-7559
DOI:10.1007/s13312-018-1405-2