Covid-19-stembandparalyse en -parese bij een patiënte met stridor

Abstract

COVID-19 vocal cord paralysis and paresis in a patient with stridor COVID-19 can affect several organs, giving various disease presentations. The authors describe a case of a 42-year-old patient who presented with stridor. A bronchoscopy and flexible endoscopy revealed vocal cord paralysis on the left and vocal cord paresis on the right. With additional imaging, no other aetiology for the vocal cord impairment could be found, upon which the diagnosis of COVID-19-related vocal cord paralysis and paresis was made. The patient was successfully treated with short-term CPAP and a short course of methylprednisolone in tapering schedule. Hereafter, clinically and visually by means of a flexible endoscopy, there was rapid improvement of the vocal cord dysfunction. With this case, the authors suspect that corticosteroids may have a beneficial effect on the recovery of vocal cord deterioration caused by COVID-19.