J Korean Neurol Assoc.  2024 Nov;42(4):344-347. 10.17340/jkna.2024.0042.

Fatal Nocturnal Stridor after Tracheostomy Decannulation in a Patient with Medullary Infarction and Vocal Cord Palsy

Affiliations
  • 1Department of Neurology, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea

Abstract

Nocturnal stridor, a high-pitched breathing sound during sleep, is one of the respiratory signs indicating airway narrowing. A 70-year-old man experienced life-threatening nocturnal stridor following tracheostomy decannulation after medullary infarction and vocal cord paralysis. This rare case highlights the importance of evaluating risk of sleep apnea and vocal cord function pre-decannulation to prevent serious complications.

Keyword

Nocturnal stridor; Medullary infarction; Vocal cords; Sleep apnea syndromes
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