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At least 163 records · Page 9Linked to original sources
PubMed2005

[Inspiratory stridor in a child with a retropharyngeal abscess instead of the normally expected subglottic laryngitis].

A 6-month-old girl presented with fever, coughing, inspiratory stridor and neck swelling. She was admitted for observation under the suspicion of spasmodic croup combined with a lymphadenitis colli. However, a rapidly progressive respiratory insufficiency developed which was found to be due to a retropharyngeal abscess. The patient was intubated and surgical drainage of the abscess followed. The postoperative clinical progress was uncomplicated. Common presenting signs of a retropharyngeal abscess include: inspiratory stridor, bulging of the pharyngeal wall, limited movement of the neck and palpable swelling of the neck. Current treatment consists of oral incision and drainage of the abscess followed by the administration of antibiotics.

Anti-Bacterial Agents↗
PubMed2005

The dilemma of a lateral pharyngeal mass causing stridor in a neonate.

Neonatal stridor resulting from intrinsic or extrinsic aberration in the upper respiratory tract often poses not only a diagnostic problem, but also a difficult airway and a dilemma as to the necessity / timing of surgical intervention. A 45 day old female child with increasing stridor since birth was managed by emergency intubation and CT scan followed by excision biopsy of the cystic left sided parapharyngeal mass via a transcervical approach. On histopathology, the excised specimen was reported as cystic salivary choristoma.

Airway Obstruction↗
PubMed1991

Stridor: intracranial pathology causing postextubation vocal cord paralysis.

During an 18-month period in a pediatric intensive care unit, nine patients with vocal cord paralysis were identified using flexible bronchoscopy. When tracheally extubated, each child was found to have stridor. The children ranged in age from 17 days to 5 1/2 years. Two patients had unilateral paralysis, but neither required tracheostomy. Seven patients displayed bilateral abductor vocal cord paralysis. Of these, six patients required tracheostomy. Surgical injury to the recurrent laryngeal nerve was the probable cause in two patients. The other seven patients had neurologic disorders with documented or suspected increases of intracranial pressure. Four of the seven patients with bilateral abductor vocal cord paralysis regained cord mobility within 4 months. Both children with unilateral cord paralysis have no stridor and vocalize well 1 year later. Cord paralysis in the setting of intracranial hypertension probably results from compression or ischemia of the vagus nerve before it exits the skull. Early visualization of the larynx should be done in patients who become stridulous when extubated, especially those with prior thoracic procedures or with neurologic disorders associated with intracranial hypertension.

Bronchoscopy↗
PubMed1991

The stridorous infant.

A common problem facing the otolaryngologist is the infant with stridor. This article discusses an approach to diagnosis and treatment for this problem. Common causes of stridor in this age group and their therapies are discussed.

Humans↗
PubMedDate not supplied

Laryngeal compression and stridor as the presenting feature of ruptured thoracic aortic aneurysm. Report of two cases.

Two patients are reported in whom rupture of a thoracic aortic aneurysm presented with neck swelling and progressive stridor. Stridor occurred due to compression of the larynx by haematoma tracking up from the mediastinum. The presentation of thoracic aortic aneurysms and of rupture of thoracic aortic aneurysms are discussed with particular reference to mechanisms of cardiovascular and respiratory manifestations. The importance of early control of the airway is emphasised if there is to be any hope of survival from acute rupture.

Aged↗
PubMed1987

Wheezing and stridor.

Wheezes are defined as high-pitched, continuous, adventitious lung sounds. They are produced by oscillation of opposing airway walls whose lumen is narrowed. Although asthma is the most common cause of wheezing, a wide variety of disease processes may result in wheezing due to airway obstruction. This obstruction may be caused by airway edema, smooth muscle constriction, increased secretions, vascular congestion, mass lesions, scarring, or foreign bodies. Stridor is a special kind of wheeze described as a loud musical sound of constant pitch, which is heard in patients with tracheal or laryngeal obstruction. The full differential diagnosis of airway obstruction should be carefully considered in any patient with wheezing or stridor.

Airway Obstruction↗
PubMed1993

[2 children with stridor and a thymus in the posterior mediastinum].

Two infants are described with an inspiratory and expiratory stridor with apnea. X-ray examination showed a mass in the posterior mediastinum. For this reason both infants underwent a diagnostic thoracotomy because detailed study didn't resolve the problem. An aberrant localized thymus was found in both infants. In both infants, however, the complaints persisted after the operation. Both infants needed a second operation to relieve the stridor, which appeared to be due to (primary and secondary) tracheomalacia. This article describes shortly the embryology of the abnormally located thymus. The possibilities to diagnose a posterior mediastinal mass without thoracotomy are also described. Using magnetic resonance imaging (MRI), the posterior located thymus can be diagnosed noninvasively in most cases. The aberrantly positioned thymus should be included in the differential diagnosis of a posterior mediastinal mass, otherwise invasive methods are needed to come to the good diagnosis.

Apnea↗
PubMed1995

Laryngeal tuberculosis. A cause of stridor in children.

The number of tuberculosis (TB) cases reported in the United States has been on the decline for the last three decades. This trend has been dramatically reversed in the past few years, largely owing to the human immunodeficiency virus epidemic. Laryngeal TB, while well recognized in the adult population, is a rare disease in children. Only six cases have been described in the world literature since 1960. We describe three children with laryngeal TB who presented with stridor. One child required an emergency tracheotomy for control of the airway. The pathogenesis of laryngeal TB in children is postulated to differ from that in adults. In children primary infection of the larynx occurs, while in adults, laryngeal infection is secondary to pulmonary disease. All patients had triple anti-TB chemotherapy for 1 year. Laryngeal TB, although rare, may be seen more frequently in the near future and the diagnosis should always be considered.

Child↗
PubMed1987

Central stridor from an ependymoma.

Described herein is the case of one patient who presented with manifestations of an acquired obstructive hydrocephalus and hiccups. After shunting, this patient developed paroxysmal laryngeal stridor and other noises refractory to medications. At autopsy he was found to have a calcified ependymoma.

Cerebral Ventricle Neoplasms↗
PubMed2002

Myotonic dystrophy type 1 (DM1) presenting with laryngeal stridor and vocal fold paresis.

Myotonic dystrophy type 1 (DM1) is the most common inherited muscle disorder and may present in numerous ways due to characteristic multisystem involvement. We report a 47-year-old man who presented with an 8-year history of slowly progressive dyspnea and episodic stridor. The laryngeal paresis was documented with videostroboscopy and laryngeal electromyography, and treated with tracheostomy and antimyotonia agents.

Airway Obstruction↗
PubMed1985

Laryngeal stridor associated with the Chiari II malformation.

Twelve patients with Chiari II malformation developed laryngeal stridor and respiratory distress. This may develop when there is acute downward or upward displacement of the malformed brain stem secondary to increased or decreased intracranial pressure. Rapidly progressive hydrocephalus and compression of the lower portion of the IV ventricle are more important factors than the size of the head at birth. For the treatment of these symptoms relief of the increase in intracranial pressure, relief of the pressure difference between intracranial and intraspinal compartments, and selection of a shunt system with a proper flow rate are important. Posterior fossa decompression did not show a favorable effect.

Apnea↗
PubMed1987

Inspiratory stridor and dysphagia because of prolonged oesophageal foreign body.

A 2-year-old boy with severe inspiratory stridor and dysphagia is described. The delay in the diagnosis of an impacted foreign body resulted in severe deformation of the oesophagus. After surgical extraction of the foreign body the oesophagus was splinted for 4 months by a nasogastric tube because of persistent severe dysphagia. Removal of this tube was followed by a gradual disappearance of the complaints.

Child, Preschool↗
PubMed1981

Connatal Pelizaeus-Merzbacher disease with congenital stridor in two maternal cousins.

Two maternal cousins are described with the connatal form of Pelizaeus-Merzbacher Disease (PMD) and congenital stridor. Study of brain biopsy material confirms the diagnosis of PMD. The neuropathological findings are suggestive for the transitional form of this disease. Quantitative morphology gives support to the hypothesis that PMD is a disturbance in maturation of neurons and in myelin formation rather than an active degenerative process. The hereditary transmission is most consistent with a sex-linked recessive pattern. Different X-linked signs seem combined in the presented cases.

Biopsy↗
PubMed1991

Multiple system atrophy-autonomic failure: a case with early laryngeal stridor and without orthostatic hypotension.

We report a case of multiple system atrophy-autonomic failure in which the most interesting features were the uncommon onset of a laryngeal stridor in the absence of orthostatic hypotension and the clinical-nosographic possibilities for the autonomic changes found. The differentiation between autonomic failure and pure autonomic failure and their relationship to multiple system atrophy are still under discussion. We agree with the authors who consider that the absence/presence of orthostatic hypotension may be taken as discriminant for this purpose.

Aged↗
PubMed2000

Congenital supraglottic cyst: a rare cause of stridor.

Congenital laryngeal cysts are very rare and if mismanaged, lead to a high incidence of morbidity and mortality. The case may present as severe stridor and emergent management can obviate a tracheostomy, achieving cure in the process. We report here a case of supraglottic cyst, which was completely occluding the airway and was managed in the emergency setting.

Cysts↗
PubMed2000

Aberrant cervical thymus in an infant: an unusual cause of stridor.

We report an 8-month-old infant presenting with stridor caused by a nonpalpable neck mass discovered at imaging and surgery. The diagnosis of aberrant thymic tissue was confirmed at histopathology. The authors reviewed the literature and discuss the embryology, imaging findings and differential diagnosis of this rare disorder.

Choristoma↗
PubMed2002

An unusual cause of stridor: retropharyngeal cold abscess.

A 15-month-old female presented with a large swelling on the left lateral aspect of the neck and respiratory distress, and stridor due to incomplete obstruction of the upper airway. A lateral X-ray film and computerized tomography scan of the cervical spine showed a retropharyngeal abscess without vertebral involvement. Aspiration and contrast revealed it to be a bilobed tubercular abscess. Planned external drainage was done after 10 days under anti-tubercular drugs.

Female↗
PubMed2005

An unusual cause of stridor in childhood due to focal epileptic seizures.

Respiratory disorders with stridor are a frequent cause of admission for children in an emergency department. Laryngospasm, as an isolated symptom of epilepsy, is a rare phenomenon [1, 3, 5]. Other respiratory symptoms of epilepsy, rarely seen in childhood, might be apnoeic spells [2, 4]. We report on a child with laryngospasm due to focal epileptic seizures.

Anticonvulsants↗