{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T10:45:15Z","timestamp":1761648315484,"version":"build-2065373602"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[1993,11,1]],"date-time":"1993-11-01T00:00:00Z","timestamp":752112000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1993,11]]},"abstract":"<jats:p>Shy\u2010Drager syndrome consists of progressive autonomic nervous system failure with Parkinson's disease\u2010like symptoms and orthostatic hypotension. It can also result in airway compromise from bilateral vocal cord paralysis. Fewer than 30 cases of severe bilateral vocal cord paresis or paralysis associated with the Shy\u2010Drager syndrome have been reported in the English literature. We present a case of a 72\u2010year\u2010old man who had a 2\u2010year history of orthostatic hypotension, neurogenic bladder, impotence, anhydrosis, and extremity weakness and paresthesias. Hoarseness and dyspnea with stridor developed as a result of bilateral vocal cord paralysis in the median position and required an emergency tracheotomy. This combination of symptoms resulted in the diagnosis of Shy\u2010Drager syndrome. We present the case along with literature review of bilateral vocal cord paralysis with the Shy\u2010Drager syndrome.<\/jats:p>","DOI":"10.1177\/019459989310900521","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T06:50:58Z","timestamp":1448434258000},"page":"911-914","source":"Crossref","is-referenced-by-count":12,"title":["Bilateral vocal cord paralysis with shy\u2010drager syndrome"],"prefix":"10.1002","volume":"109","author":[{"given":"Rohit","family":"Bawa","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery West Virginia University Morgantown West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan H.","family":"Ramadan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery West Virginia University Morgantown West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen J.","family":"Wetmore","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery West Virginia University Morgantown West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1993,11]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1960.03840110025004"},{"key":"e_1_2_1_3_1","first-page":"1759","volume-title":"Endocrinology","author":"Campese VM","year":"1989"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410260410"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.159.2.3961183"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410210502"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8619(18)30214-7"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410210602"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01826210"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.40.4.677"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410020117"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.42.2.151"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348948309200121"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/104.2.351"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.1982.tb06873.x"},{"key":"e_1_2_1_16_1","first-page":"146","article-title":"Bilateral vocal cord paralysis in Shy\u2010Drager syndrome","volume":"16","author":"Longridge NS","year":"1987","journal-title":"J Otolaryngol"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100104724"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.300.6737.1441"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198908000-00014"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1991.tb11685.x"},{"key":"e_1_2_1_21_1","first-page":"428","article-title":"Etiology of bilateral vocal cord paralysis: a review of 389 cases","volume":"85","author":"Holinger LD","year":"1976","journal-title":"Ann Otol"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(79)80009-5"},{"key":"e_1_2_1_23_1","first-page":"2061","volume-title":"Otolaryngology\u2010head and neck surgery","author":"Eisele DW","year":"1993"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989310900521","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989310900521","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:57:23Z","timestamp":1760968643000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989310900521"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,11]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1993,11]]}},"alternative-id":["10.1177\/019459989310900521"],"URL":"https:\/\/doi.org\/10.1177\/019459989310900521","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[1993,11]]}}}