Exercise-induced stridor due to abnormal movement of the arytenoid area: videoendoscopic diagnosis and characterization of the "at risk" group.

Abstract:

:We evaluated 4 patients who developed severe, symptomatic stridor during maximal cardiopulmonary exercise testing, all referred due to exercise-related dyspnea. All underwent resting, unsedated transnasal fiberoptic laryngoscopy and had normal findings. Four patients performed repeat maximal exercise testing with fiberoptic laryngoscopy, and they form the basis of this report. They had normal vocal cord motion during exercise, but developed abnormal anterior motion of the arytenoid and aryepiglottic folds only at peak exercise, leading to partial airway obstruction and severe stridor. This report details the workup and characterizes patients at risk for this unusual phenomenon.

journal_name

Pediatr Pulmonol

journal_title

Pediatric pulmonology

authors

Fahey JT,Bryant NJ,Karas D,Goldberg B,Destefano R,Gracco LC

doi

10.1002/ppul.20076

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

51-5

issue

1

eissn

8755-6863

issn

1099-0496

journal_volume

39

pub_type

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