Tijdschrift voor kindergeneeskunde
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Tijdschr Kindergeneeskd · Feb 1982
Case Reports[Inspiratory stridor due to vocal cord paralysis in children with myelomeningocele and hydrocephalus].
Inspiratory stridor in combination with myelomeningocele and increased intracranial pressure is caused by bilateral vocal cord paralysis in children with Arnold-Chiari-deformation. The diagnosis of bilateral vocal cord paralysis can be established by direct laryngoscopy performed without general anesthesia. ⋯ The bilateral vocal cord paralysis is totally reversible if the inracranial pressure is decreased timely. The bilateral vocal cord paralysis becomes irreversible when degeneration of the nucleus ambiguus occurs secondary to peripheral lesions of the nervus vagus.