Evidence map›Paper›PMID 40092025›Full record

ArticleCureus2025

Bilateral Vocal Cord Paralysis Following a Fall: A Rare Case With a Fatal Outcome.

Wei-Chih Chen, Zi-Jie Lin, Kuan-Ting Lu

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Wei-Chih ChenDepartment of Neurosurgery, Taipei Veterans General Hospital, Taipei, TWN.
Zi-Jie LinDepartment of Neurosurgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, TWN.
Kuan-Ting LuDepartment of Neurosurgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, TWN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bilateral vocal cord paralysis is characterized by the immobility of the vocal cord and can lead to acute respiratory distress, requiring urgent airway intervention. This article describes a rare case of bilateral vocal cord paralysis following a fall. An 87-year-old female developed dysphonia after experiencing a fall-related accident. A brain computed tomography (CT) scan revealed a 4-mm-thick left tentorium subdural hematoma, without any bone or cartilage fractures. Cervical CT demonstrated degenerative changes from C4 to C7. Fiberscope examination confirmed bilateral vocal cord paralysis and atrophy. Hours later, she experienced stridor and hypercapnia, necessitating successful intubation. Vocal cord paralysis is rarely associated with blunt head injury; however, cervical hyperextension injuries and cervical spur compression have also been reported. The two factors were also highly suspected in our case, and they may be the causes of bilateral vocal cord paralysis. To conclude, the onset of dysphonia after trauma injury should raise concern for bilateral vocal cord paralysis and prompt consideration of airway protection.

Indexed as

airway intubationbilateral vocal cord paralysisbone spurbrain trauma injurydysphoniahyperextension of the neckrespiratory distress

Identifiers

PMID40092025
PMCPMC11908470

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.