ArticleFrontiers in neurology2020
Bilateral Vocal Fold Paralysis in Myasthenia Gravis: A Case Report and Literature Review.
Article in Frontiers in neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 9 citations in OpenAlex.
- Classifying neurogenic dysphagia as a movement disorder.Brain : a journal of neurology · 2025Review
- Article
- Unusual Presentation of Double-seronegative Myasthenia Gravis with Positive Anti-LRP4 Antibody: Diagnostic Utility of a Videofluoroscopic Swallowing Study.Internal medicine (Tokyo, Japan) · 2025Article
- Pembrolizumab-induced Immune-related Bilateral Vocal Cord Paralysis.Internal medicine (Tokyo, Japan) · 2024Article
- Bilateral Vocal Cord Palsy as the Only Symptom of Thymoma Associated-Myasthenia Gravis.Maedica · 2022Article
- Univent tube for thoracoscopic thymectomy in myasthenic patients anesthetized without neuromuscular blocking agents: An observational study.Saudi journal of anaesthesiaArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To prevent severe and potentially life-threatening consequences of bilateral vocal fold paralysis (BVFP), the identification and management of reversible causes is pivotal. Myasthenia gravis (MG) presenting with BVFP is rarely reported and remains incompletely understood. Although symptom control is achievable for most MG patients with sufficient therapy, atypical clinical presentation such as BVFP might preclude diagnosis and thus effective treatment. Here, we present a case of BVFP as leading manifestation of MG successfully treated with plasmapheresis. Moreover, we performed a literature review of the few existing cases reported between 1980 and 2020 indicating that elderly patients are particularly at risk for MG presenting with severe BVFP and that edrophonium testing with fiber optic endoscopic evaluation of swallowing (FEES) might be valuable for establishing the diagnosis. We conclude that clinicians should consider MG as possible and reversible cause for BVFP.
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