An unusual cause of difficult weaning in a patient with newly diagnosed small cell lung cancer
| Autor: | K. Demuynck, J. Aumann, G. Deslypere, K. Cuppens, L. Spaas, K. Pat |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
lcsh:RC705-779
Pulmonary and Respiratory Medicine medicine.medical_specialty Respiratory distress Guillain-Barre syndrome Small cell lung cancer business.industry medicine.medical_treatment Thyroidectomy Case Report lcsh:Diseases of the respiratory system Bilateral vocal cord paralysis medicine.disease Surgery Anesthesia Laryngeal Muscle Paralysis medicine Cordectomy medicine.symptom Lung cancer business |
| Zdroj: | Respiratory Medicine Case Reports, Vol 16, Iss C, Pp 140-142 (2015) Respiratory Medicine Case Reports |
| ISSN: | 2213-0071 |
| DOI: | 10.1016/j.rmcr.2015.09.003 |
| Popis: | We describe a patient with acute respiratory insufficiency and difficult ventilator weaning in the ICU ward, leading to diagnosis of small cell lung cancer with superior vena cava superior syndrome. Bilateral vocal cord paralysis caused his respiratory distress and weaning difficulties. Thyroidectomy and neurological problems (such as Parkinson disease and Guillain Barré syndrome) are more common causes of bilateral vocal cord paralysis. Lung cancer patients are also at risk due to mediastinal invasion. The left recurrent laryngeal nerve is more prone to paralysis because of the typical anatomy. In contrary, bilateral vocal cord paralysis is rare and doesn't result in speech problems but rather breathing difficulties. Tracheostomy is the classic therapy, but laser cordectomy and Botulinum toxin injection in the laryngeal muscles are alternatives. |
| Databáze: | OpenAIRE |
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