{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T11:34:58Z","timestamp":1774006498990,"version":"3.50.1"},"reference-count":97,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1998,11]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 The authors report a rare case of bilateral vocal cord paralysis following anterior cervical discectomy and fusion (ACD\/F) in a patient who had a preexisting, clinically silent, and unrecognized unilateral vocal cord paralysis from a remote cardiac surgical procedure. The patient, a 41-year-old woman who developed acute respiratory stridor and respiratory insufficiency at the time of extubation after undergoing a C6\u20137 ACD\/F, required emergency reintubation and ventilation. Otolaryngological evaluation revealed bilateral vocal cord paralysis with one vocal cord showing evidence of acute paralysis and the other showing evidence of chronic paralysis. She eventually required a permanent tracheotomy. The patient had undergone previous cardiac surgical procedures to correct Fallot's tetralogy as a neonate and as a child. At those times, there were no recognized symptoms of transient or permanent vocal cord dysfunction.<\/jats:p><jats:p content-type=\"fine-print\">This case emphasizes the importance of identifying patients with preexisting unilateral vocal cord paralysis before performing neurosurgical procedures such as ACD\/F, which can place the only functioning vocal cord at risk for paralysis. Guidelines for identifying patients with preexisting unilateral vocal cord paralysis and for modifying the surgical procedure for ACD\/F to prevent the catastrophic complication of bilateral vocal cord paralysis are discussed.<\/jats:p>","DOI":"10.3171\/jns.1998.89.5.0839","type":"journal-article","created":{"date-parts":[[2009,6,16]],"date-time":"2009-06-16T02:19:48Z","timestamp":1245118788000},"page":"839-843","source":"Crossref","is-referenced-by-count":34,"title":["Bilateral vocal cord paralysis following anterior cervical discectomy and fusion"],"prefix":"10.3171","volume":"89","author":[{"given":"Thomas J.","family":"Manski","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael D.","family":"Wood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stewart B.","family":"Dunsker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/S0039-6060(96)80108-5","volume":"119","author":"AbuRahma AF","year":"1996","journal-title":"Surgery"},{"key":"b2","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1016\/S0901-5027(96)80081-6","volume":"25","author":"Agaton-Bonilla FC","year":"1996","journal-title":"Int J Oral Maxillofac Surg"},{"key":"b3","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1016\/S0022-3476(05)83560-7","volume":"122","author":"Aiuto LA","year":"1993","journal-title":"J Pediatr"},{"key":"b4","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1016\/S0039-6060(97)90060-X","volume":"121","author":"Angelos P","year":"1997","journal-title":"Surgery"},{"key":"b5","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1002\/hed.2890060207","volume":"6","author":"Astor FC","year":"1983","journal-title":"Head Neck Surg"},{"key":"b6","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1007\/BF00171147","volume":"253","author":"Bachor E","year":"1996","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"b7","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1001\/archinte.1989.00390060157038","volume":"149","author":"Baumann MH","year":"1989","journal-title":"Arch Intern Med"},{"key":"b8","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1177\/019459989310900521","volume":"109","author":"Bawa R","year":"1993","journal-title":"Otolaryngol Head Neck Surg"},{"key":"b9","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/0303-8467(90)90061-9","volume":"92","author":"Boon P","year":"1990","journal-title":"Clin Neurol Neurosurg"},{"key":"b10","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1002\/(SICI)1097-0347(199705)19:3<235::AID-HED13>3.0.CO;2-A","volume":"19","author":"Boyd CM","year":"1997","journal-title":"Head Neck"},{"key":"b11","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/0090-3019(92)90094-4","volume":"38","author":"Bridgman SA","year":"1992","journal-title":"Surg Neurol"},{"key":"b12","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1985.62.5.0657"},{"key":"b13","first-page":"41","volume":"48","author":"Calvo Boizas E","year":"1997","journal-title":"Acta Otorrinolaringol Esp"},{"key":"b14","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(87)80455-9"},{"key":"b15","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1542\/peds.87.1.39","volume":"87","author":"Chaten FC","year":"1991","journal-title":"Pediatrics"},{"key":"b16","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1093\/neurosurgery\/8.CN_suppl_1.93","volume":"8","author":"Cloward RB","year":"1962","journal-title":"Clin Neurosurg"},{"key":"b17","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1007\/BF00878669","volume":"243","author":"Comabella M","year":"1996","journal-title":"J Neurol"},{"key":"b18","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/S0030-6665(20)31275-5","volume":"23","author":"Crumley RL","year":"1990","journal-title":"Otolaryngol Clin North Am"},{"key":"b19","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/S0892-1997(05)80323-6","volume":"8","author":"Crumley RL","year":"1994","journal-title":"J Voice"},{"key":"b20","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0022-510X(91)90161-Y","volume":"103","author":"de Freitas MRG","year":"1991","journal-title":"J Neurol Sci"},{"key":"b21","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1001\/jama.1966.03110110121028","volume":"197","author":"Dohn DF","year":"1966","journal-title":"JAMA"},{"key":"b22","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1002\/ana.410350515","volume":"35","author":"Dyck PJ","year":"1994","journal-title":"Ann Neurol"},{"key":"b23","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1016\/S0194-5998(96)70093-1","volume":"114","author":"Ellis SF","year":"1996","journal-title":"Otolaryngol Head Neck Surg"},{"key":"b24","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1212\/WNL.40.7.1143-a","volume":"40","author":"Espa\u00f1a A","year":"1990","journal-title":"Neurology"},{"key":"b25","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/S0194-5998(95)70143-5","volume":"113","author":"Falk SA","year":"1995","journal-title":"Otolaryngol Head Neck Surg"},{"key":"b26","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198211000-00004"},{"key":"b27","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1111\/j.1399-0004.1997.tb02469.x","volume":"51","author":"Fryns JP","year":"1997","journal-title":"Clin Genet"},{"key":"b28","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1980.53.3.0338"},{"key":"b29","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1136\/bmj.294.6580.1128-a","volume":"294","author":"Gani JS","year":"1987","journal-title":"Br Med J"},{"key":"b30","doi-asserted-by":"crossref","first-page":"1461","DOI":"10.1136\/jnnp.51.11.1461-a","volume":"51","author":"Giladi N","year":"1988","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"b31","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1212\/WNL.37.3.533","volume":"37","author":"Greenberg SJ","year":"1987","journal-title":"Neurology"},{"key":"b32","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/0887-8994(89)90073-8","volume":"5","author":"Haenggeli CA","year":"1989","journal-title":"Pediatr Neurol"},{"key":"b33","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1136\/jnnp.62.3.234","volume":"62","author":"Hayashi M","year":"1997","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"b34","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1288\/00005537-197301000-00002","volume":"83","author":"Heeneman H","year":"1973","journal-title":"Laryngoscope"},{"key":"b35","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/0022-510X(95)00030-6","volume":"130","author":"Isozaki E","year":"1995","journal-title":"J Neurol Sci"},{"key":"b36","first-page":"236","volume":"122","author":"Joosten U","year":"1997","journal-title":"Zentralbl Chir"},{"key":"b37","first-page":"1","volume-title":"Anterior Cervical Spine Surgery.","author":"Kelley LA","year":"1993"},{"key":"b38","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/0090-3019(92)90237-H","volume":"37","author":"Kitanaka C","year":"1992","journal-title":"Surg Neurol"},{"key":"b39","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1093\/sleep\/13.4.362","volume":"13","author":"Kneisley LW","year":"1990","journal-title":"Sleep"},{"key":"b40","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1002\/(SICI)1096-8628(19960823)64:3<485::AID-AJMG7>3.0.CO;2-O","volume":"64","author":"Koppel R","year":"1996","journal-title":"Am J Med Genet"},{"key":"b41","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1007\/s001040050173","volume":"68","author":"Lamade W","year":"1997","journal-title":"Chirurg"},{"key":"b42","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1016\/S0003-4975(96)01392-6","volume":"63","author":"Landau O","year":"1997","journal-title":"Ann Thorac Surg"},{"key":"b43","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1177\/019459988910000601","volume":"100","author":"Leonetti JP","year":"1989","journal-title":"Otolaryngol Head Neck Surg"},{"key":"b44","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1177\/019459988709700409","volume":"97","author":"Leonetti JP","year":"1987","journal-title":"Otolaryngol Head Neck Surg"},{"key":"b45","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1177\/019459989310800311","volume":"108","author":"Leonetti JP","year":"1993","journal-title":"Otolaryngol Head Neck Surg"},{"key":"b46","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/S0165-5876(96)01476-0","volume":"39","author":"Linder A","year":"1997","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"b47","first-page":"298","volume":"5","author":"L\u00f3pez Gast\u00f3n JI","year":"1990","journal-title":"Neurologia"},{"key":"b48","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1177\/019459989110400418","volume":"104","author":"Maddern BR","year":"1991","journal-title":"Otolaryngol Head Neck Surg"},{"key":"b49","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1097\/00007632-199306000-00022","volume":"18","author":"McCleary AJ","year":"1993","journal-title":"Spine"},{"key":"b50","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1016\/S0039-6060(96)80049-3","volume":"120","author":"Miccoli P","year":"1996","journal-title":"Surgery"},{"key":"b51","first-page":"1252","volume":"159","author":"Mollerup CL","year":"1997","journal-title":"Ugeskr Laeger"},{"key":"b52","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1177\/019459989210600202","volume":"106","author":"Molony TB","year":"1992","journal-title":"Otolaryngol Head Neck Surg"},{"key":"b53","first-page":"63","volume":"82","author":"Moulton-Barrett R","year":"1997","journal-title":"Int Surg"},{"key":"b54","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/S0030-6665(20)31274-3","volume":"23","author":"Netterville JL","year":"1990","journal-title":"Otolaryngol Clin North Am"},{"key":"b55","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1177\/000348949610500201","volume":"105","author":"Netterville JL","year":"1996","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"b56","doi-asserted-by":"crossref","first-page":"1594","DOI":"10.1097\/00007611-198712000-00028","volume":"80","author":"Nugent KM","year":"1987","journal-title":"South Med J"},{"key":"b57","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1017\/S0022215100135248","volume":"110","author":"Pak MW","year":"1996","journal-title":"J Laryngol Otol"},{"key":"b58","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/BF02334409","volume":"9","author":"Palesse N","year":"1988","journal-title":"Ital J Neurol Sci"},{"key":"b59","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1177\/019459989310800211","volume":"108","author":"Panosian MS","year":"1993","journal-title":"Otolaryngol Head Neck Surg"},{"key":"b60","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1055\/s-2007-973769","volume":"27","author":"Parano E","year":"1996","journal-title":"Neuropediatrics"},{"key":"b61","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1097\/00007611-199409000-00016","volume":"87","author":"Paul JT","year":"1994","journal-title":"South Med J"},{"key":"b62","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1136\/jnnp.55.8.741","volume":"55","author":"Prick MJJ","year":"1992","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"b63","doi-asserted-by":"crossref","first-page":"1487","DOI":"10.1136\/bmj.294.6585.1487-a","volume":"294","author":"Quayle AR","year":"1987","journal-title":"Br Med J"},{"key":"b64","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1542\/peds.97.1.127","volume":"97","author":"Randel RC","year":"1996","journal-title":"Pediatrics"},{"key":"b65","first-page":"445","volume":"146","author":"Raverdy P","year":"1990","journal-title":"Rev Neurol"},{"key":"b66","doi-asserted-by":"crossref","first-page":"1542","DOI":"10.1097\/00007611-198812000-00019","volume":"81","author":"Reece GP","year":"1988","journal-title":"South Med J"},{"key":"b67","first-page":"50","volume-title":"Neurosurgery.","volume":"1","author":"Rengachary SS","year":"1985"},{"key":"b68","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1969.30.2.0127"},{"key":"b69","doi-asserted-by":"crossref","first-page":"1569","DOI":"10.2106\/00004623-196244080-00007","volume":"44","author":"Robinson RA","year":"1962","journal-title":"J Bone Joint Surg (Am)"},{"key":"b70","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1136\/adc.67.3.352-b","volume":"67","author":"Roulet E","year":"1992","journal-title":"Arch Dis Child"},{"key":"b71","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1159\/000116161","volume":"27","author":"Rousseaux M","year":"1987","journal-title":"Eur Neurol"},{"key":"b72","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1542\/peds.80.2.231","volume":"80","author":"Ruff ME","year":"1987","journal-title":"Pediatrics"},{"key":"b73","first-page":"214","volume":"74","author":"Saltzman LS","year":"1993","journal-title":"Arch Phys Med Rehabil"},{"key":"b74","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1177\/019459989411100411","volume":"111","author":"Santos PM","year":"1994","journal-title":"Otolaryngol Head Neck Surg"},{"key":"b75","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1016\/S0140-6736(88)90826-4","volume":"2","author":"Schroeter V","year":"1988","journal-title":"Lancet"},{"key":"b76","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1542\/peds.84.5.793","volume":"84","author":"Schumacher RE","year":"1989","journal-title":"Pediatrics"},{"key":"b77","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1016\/S1010-7940(96)01068-8","volume":"11","author":"Shafei H","year":"1997","journal-title":"Eur J Cardiothorac Surg"},{"key":"b78","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.1097\/00007611-198711000-00023","volume":"80","author":"Shaw GL","year":"1987","journal-title":"South Med J"},{"key":"b79","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/S0030-6665(20)30239-5","volume":"30","author":"Simpson CB","year":"1997","journal-title":"Otolaryngol Clin North Am"},{"key":"b80","doi-asserted-by":"crossref","first-page":"631","DOI":"10.2106\/00004623-195739030-00017","volume":"39","author":"Southwick WO","year":"1957","journal-title":"J Bone Joint Surg (Am)"},{"key":"b81","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1111\/j.1399-0004.1993.tb03870.x","volume":"44","author":"Stewart FJ","year":"1993","journal-title":"Clin Genet"},{"key":"b82","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199410000-00032"},{"key":"b83","doi-asserted-by":"crossref","first-page":"91","DOI":"10.3950\/jibiinkoka.99.91","volume":"99","author":"Takamatsu I","year":"1996","journal-title":"Nippon Jibiinkoka Gakkai Kaiho"},{"key":"b84","doi-asserted-by":"publisher","DOI":"10.1016\/0090-3019(90)90130-H"},{"key":"b85","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1177\/019459989010200207","volume":"102","author":"Teixido MT","year":"1990","journal-title":"Otolaryngol Head Neck Surg"},{"key":"b86","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1177\/019459989210700113","volume":"107","author":"Terris DJ","year":"1992","journal-title":"Otolaryngol Head Neck Surg"},{"key":"b87","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1001\/archotol.1997.01900010103016","volume":"123","author":"Thompson JW","year":"1997","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"b88","first-page":"861","volume":"131","author":"Thompson NW","year":"1970","journal-title":"Surg Gynecol Obstet"},{"key":"b89","first-page":"683","volume":"36","author":"Tomiyasu K","year":"1996","journal-title":"Rinsho Shinkeigaku"},{"key":"b90","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1016\/0003-4975(96)85165-4","volume":"62","author":"Tovar EA","year":"1996","journal-title":"Ann Thorac Surg"},{"key":"b91","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1161\/01.STR.19.12.1561","volume":"19","author":"Waespe W","year":"1988","journal-title":"Stroke"},{"key":"b92","first-page":"91","volume":"140","author":"Wang C","year":"1975","journal-title":"Surg Gynecol Obstet"},{"key":"b93","first-page":"584","volume":"121","author":"Wasiak J","year":"1996","journal-title":"Zentralbl Chir"},{"key":"b94","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/S0194-5998(97)70266-3","volume":"116","author":"Weisberg NK","year":"1997","journal-title":"Otolaryngol Head Neck Surg"},{"key":"b95","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/S0892-1997(96)80023-3","volume":"10","author":"Wohl DL","year":"1996","journal-title":"J Voice"},{"key":"b96","first-page":"804","volume":"95","author":"Wu YR","year":"1996","journal-title":"J Formos Med Assoc"},{"key":"b97","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/S0194-5998(96)70277-2","volume":"114","author":"Zbar RIS","year":"1996","journal-title":"Otolaryngol Head Neck Surg"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/89\/5\/article-p839.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/89\/5\/article-p839.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/89\/5\/article-p839.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T17:48:37Z","timestamp":1685036917000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/89\/5\/article-p839.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[1998,11]]},"references-count":97,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/jns.1998.89.5.0839","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1998,11]]}}}