Bilateral vocal fold paralysis after COVID-19 infection. Another neuro-invasive manifestation? Case series

  • Juan José Correa Barrera Anesthesiology and Resuscitation, Hospital Universitario Severo Ochoa. Madrid, España.
  • Blanca Gómez del Pulgar Vázquez Anesthesiology and Resuscitation, Hospital Universitario Severo Ochoa. Madrid, España.
  • Adriana Orozco Vinasco Anesthesiology and Resuscitation, Hospital Universitario Severo Ochoa. Madrid, España.
  • Purificación Sánchez Zamora Anesthesiology and Resuscitation, Hospital Universitario Severo Ochoa. Madrid, España.
  • Sonia Sánchez Solano Anesthesiology and Resuscitation, Hospital Universitario Severo Ochoa. Madrid, España.
  • Natalia Martos Gisbert Anesthesiology and Resuscitation, Hospital Universitario Severo Ochoa. Madrid, España.
  • Rubén Saz Castro Anesthesiology and Resuscitation, Hospital Universitario Severo Ochoa. Madrid, España.
  • David Orozco Vinasco Antesthesiology and Resuscitation. Clínica Colsubsidio Calle 100. Bogotá. Colombia.
  • Mónica San Juan Álvarez Anesthesiology and Resuscitation, Hospital Universitario Severo Ochoa. Madrid, España.
  • Antonio García Rueda Anesthesiology and Resuscitation, Hospital Universitario Severo Ochoa. Madrid, España.
Keywords: Vocal cords bilateral palsy, Neuroinvasion, Neurotropism, SARS-CoV-2, COVID-19

Abstract

The agent that causes the coronavirus disease (COVID-19), associated with the severe acute respiratory syndrome (SARS-CoV-2), produces a spectrum of symptoms that mainly affect the respiratory system, the central nervous system (CNS), the regulation of hemostasis and the immune system.

Bilateral vocal fold paralysis (BVFP) is a condition of unknown incidence among infected patients, either because it is short-lived or because of the difficulty in establishing a direct cause to the virus.

Viral infection has been described in the literature as a cause of BVFP and there is the suspicion that a proportion of the idiopathic cases are due to undiagnosed viral infections.

Although the neurotropic mechanisms for SARS-CoV-2 remain unclear, there is strong evidence to ensure its neuroinvasive potential.

The most frequent etiologies of BVFP are trauma, neoplasm, and neurological, but a viral origin should not be ruled out. Causality between COVID-19 and BVFP is plausible and will require further study in the short and long term.

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How to Cite
1.
Correa Barrera JJ, Gómez del Pulgar Vázquez B, Orozco Vinasco A, Sánchez Zamora P, Sánchez Solano S, Martos Gisbert N, Saz Castro R, Orozco Vinasco D, San Juan Álvarez M, García Rueda A. Bilateral vocal fold paralysis after COVID-19 infection. Another neuro-invasive manifestation? Case series. Colomb. J. Anesthesiol. [Internet]. 2021Mar.25 [cited 2021Apr.23];49. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/978

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Published
2021-03-25
How to Cite
1.
Correa Barrera JJ, Gómez del Pulgar Vázquez B, Orozco Vinasco A, Sánchez Zamora P, Sánchez Solano S, Martos Gisbert N, Saz Castro R, Orozco Vinasco D, San Juan Álvarez M, García Rueda A. Bilateral vocal fold paralysis after COVID-19 infection. Another neuro-invasive manifestation? Case series. Colomb. J. Anesthesiol. [Internet]. 2021Mar.25 [cited 2021Apr.23];49. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/978
Section
Case Report / Case Series

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