Psychiatric Manifestations of the Post-Thyroidectomy Bilateral Abductor Vocal Cord Paralysis Syndrome
- 1 January 1980
- journal article
- case report
- Published by Wolters Kluwer Health in Journal of Nervous & Mental Disease
- Vol. 168 (1) , 46-49
- https://doi.org/10.1097/00005053-198001000-00009
Abstract
Post-thyroidectomy bilateral abductor vocal cord paralysis (BAVCP) is a life-threatening syndrome characterized by serious psychiatric manifestations as well as by voice, airway, hypothyroid, and hypoparathyroid symptoms. Of the 128 patients with post-thyroidectomy BAVCP syndrome, 45 (35.2 per cent) had psychiatric complications: 21 of the 128 patients (16.4 per cent) had pre-existing psychiatric symptoms exacerbated by the post-thyroidectomy BAVCP syndrome, 16 (12.5 per cent) had psychiatric symptoms initiated by the syndrome, six (4.7 per cent) had psychiatric symptoms etiologically distinct from the syndrome, and two (1.6 per cent) were misdiagnosed. The role of psychiatric treatment is described. Theoretical aspects of laryngeal dysfunctions associated with psychiatric disorders and psychotropic medications are discussed.Keywords
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