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Case Report: Bilateral Palsy of the Vocal Cords After COVID-19 Infection

Frederic Jungbauer, R Hülse, Fei Lu, Sonja Ludwig, Valentin Held, Nicole Rotter, Angela Schell

2021Frontiers in Neurology27 citationsDOIOpen Access PDF

Abstract

During the COVID-19 pandemic, adverse neurological effects have been described. In addition to unspecific neurological symptoms, cranial nerve deficits have appeared as part of SARS-CoV-2 infection. In this case report, we describe a 74-year-old patient who developed bilateral paralysis of the vocal cords some weeks following his dismissal in stable condition after COVID-19 pneumonia. After ruling out central lesions, peripheral tumors, and other possible causes, therapy was initiated with methylprednisolone, inhalations, and oxygen. The patient showed no improvement, so laterofixation after Lichtenberger was performed. The dyspnea worsened after several weeks, so a laser posterior cordectomy was performed with satisfactory outcome.

Topics & Concepts

MedicineMethylprednisoloneCoronavirus disease 2019 (COVID-19)SurgeryAdverse effectPneumoniaParalysisCordectomyAnesthesiaRadiation therapyInternal medicineDiseaseHead and neck cancerInfectious disease (medical specialty)Facial Nerve Paralysis Treatment and ResearchLong-Term Effects of COVID-19Vestibular and auditory disorders