Abstract
Intractable obstructive apneas requiring multiple intubations are rare in newborns. We report a pair of twins born at 29 weeks gestation who had severe obstructive apneas due to Paradoxical Vocal Cord Motion (PVCM). The symptoms resolved promptly with ipratropium nebulization. Follow-up at 12 months of age revealed normal development. PVCM should be considered in the differential diagnosis of intractable obstructive apneas in very low birth weight preterm infants.
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