{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T04:55:40Z","timestamp":1764046540584,"version":"3.45.0"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,24]]},"DOI":"10.7759\/cureus.97706","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T03:13:55Z","timestamp":1764040435000},"source":"Crossref","is-referenced-by-count":0,"title":["Respiratory Failure Due to Bilateral Vocal Fold Paralysis Following Laparoscopic Cholecystectomy: A Rare Presentation of Myasthenia Gravis"],"prefix":"10.7759","author":[{"given":"Bruno","family":"Santiago","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vitor A","family":"Felippe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo M","family":"Sousa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia R","family":"Machado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcos A","family":"Lessa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-019-0079-y","article-title":"Myasthenia gravis","volume":"5","author":"Gilhus NE","year":"2019","unstructured":"Gilhus NE, Tzartos S, Evoli A, Palace J, Burns TM, Verschuuren JJ. Myasthenia gravis. Nat Rev Dis Primers. 2019, 5:30. 10.1038\/s41572-019-0079-y","journal-title":"Nat Rev Dis Primers"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.51.1.108","article-title":"Myasthenia gravis presenting with stridor","volume":"51","author":"Hanson JA","year":"1996","unstructured":"Hanson JA, Lueck CJ, Thomas DJ. Myasthenia gravis presenting with stridor. Thorax. 1996, 51:108-9. 10.1136\/thx.51.1.108","journal-title":"Thorax"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1378\/chest.77.2.218","article-title":"Vocal cord paralysis in myasthenia gravis following anesthesia","volume":"77","author":"Colp C","year":"1980","unstructured":"Colp C, Kriplani L, Nussbaum M. Vocal cord paralysis in myasthenia gravis following anesthesia. Chest. 1980, 77:218-20. 10.1378\/chest.77.2.218","journal-title":"Chest"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(01)00012-1","article-title":"Laryngeal myasthenia gravis: report of 40 cases","volume":"15","author":"Mao VH","year":"2001","unstructured":"Mao VH, Abaza M, Spiegel JR. Laryngeal myasthenia gravis: report of 40 cases. J Voice. 2001, 15:122-30. 10.1016\/S0892-1997(01)00012-1","journal-title":"J Voice"},{"key":"ref5","article-title":"Difficult airway response team outcomes in an academic emergency department: a prospective, multidisciplinary airway management cohort study","volume":"1","author":"Saheed MO","year":"2024","unstructured":"Saheed MO, Varghese J, Truong D, et al.. Difficult airway response team outcomes in an academic emergency department: a prospective, multidisciplinary airway management cohort study. Tracheostomy. 2024, 1:17-28.","journal-title":"Tracheostomy"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aew175","article-title":"The Vortex: a universal 'high-acuity implementation tool' for emergency airway management","volume":"117 Suppl 1","author":"Chrimes N","year":"2016","unstructured":"Chrimes N. The Vortex: a universal 'high-acuity implementation tool' for emergency airway management. Br J Anaesth. 2016, 117 Suppl 1:i20-7. 10.1093\/bja\/aew175","journal-title":"Br J Anaesth"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000004002","article-title":"2022 American Society of Anesthesiologists practice guidelines for management of the difficult airway","volume":"136","author":"Apfelbaum JL","year":"2022","unstructured":"Apfelbaum JL, Hagberg CA, Connis RT, et al.. 2022 American Society of Anesthesiologists practice guidelines for management of the difficult airway. Anesthesiology. 2022, 136:31-81. 10.1097\/ALN.0000000000004002","journal-title":"Anesthesiology"},{"key":"ref8","unstructured":"The CAREGuidelines. Consensus-based Clinical Case Reporting Guideline Development. (2025). Accessed: October 9, 2025: https:\/\/www.equator-network.org\/reporting-guidelines\/care\/."},{"key":"ref9","unstructured":"American Society of Anesthesiologists. ASA Physical Status Classification System. (2019). Accessed. October 9, 2025: http:\/\/\/\/www.asahq.org\/standards-and-guidelines\/asa-physical-status-classification-system."},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.100.10.1043","article-title":"Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery","volume":"100","author":"Lee TH","year":"1999","unstructured":"Lee TH, Marcantonio ER, Mangione CM, et al.. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation. 1999, 100:1043-9. 10.1161\/01.cir.100.10.1043","journal-title":"Circulation"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198111000-00037","article-title":"Myasthenia gravis presenting as laryngeal stridor after exposure to chlorine gas","volume":"74","author":"Foulks CJ","year":"1981","unstructured":"Foulks CJ. Myasthenia gravis presenting as laryngeal stridor after exposure to chlorine gas. South Med J. 1981, 74:1423-4. 10.1097\/00007611-198111000-00037","journal-title":"South Med J"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1984.04050170117030","article-title":"Respiratory failure in myasthenia gravis due to vocal cord paresis","volume":"41","author":"Schmidt-Nowara WW","year":"1984","unstructured":"Schmidt-Nowara WW, Marder EJ, Feil PA. Respiratory failure in myasthenia gravis due to vocal cord paresis. Arch Neurol. 1984, 41:567-8. 10.1001\/archneur.1984.04050170117030","journal-title":"Arch Neurol"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215100120730","article-title":"Acute stridor due to bilateral vocal fold paralysis as a presenting sign of myasthenia gravis","volume":"106","author":"Fairley JW","year":"1992","unstructured":"Fairley JW, Hughes M. Acute stridor due to bilateral vocal fold paralysis as a presenting sign of myasthenia gravis. J Laryngol Otol. 1992, 106:737-8. 10.1017\/s0022215100120730","journal-title":"J Laryngol Otol"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215100120390","article-title":"Laryngeal stridor in myasthenia gravis","volume":"106","author":"Job A","year":"1992","unstructured":"Job A, Raman R, Gnanamuthu C. Laryngeal stridor in myasthenia gravis. J Laryngol Otol. 1992, 106:633-4. 10.1017\/s0022215100120390","journal-title":"J Laryngol Otol"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215100158050","article-title":"Acute inspiratory stridor: a presentation of myasthenia gravis","volume":"113","author":"Abul Matin M","year":"1999","unstructured":"Abul Matin M, Alam K, O'Driscoll K, Murphy PJ. Acute inspiratory stridor: a presentation of myasthenia gravis. J Laryngol Otol. 1999, 113:1114-5. 10.1017\/s0022215100158050","journal-title":"J Laryngol Otol"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215100144834","article-title":"Bilateral abductor vocal fold paralysis due to myasthenia gravis","volume":"113","author":"Osei-Lah V","year":"1999","unstructured":"Osei-Lah V, O'Reilly BJ, Capildeo R. Bilateral abductor vocal fold paralysis due to myasthenia gravis. J Laryngol Otol. 1999, 113:678-9. 10.1017\/s0022215100144834","journal-title":"J Laryngol Otol"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000254617.15644.f4","article-title":"Vocal cord paralysis in myasthenia gravis with anti-MuSK antibodies","volume":"68","author":"Hara K","year":"2007","unstructured":"Hara K, Mashima T, Matsuda A, et al.. Vocal cord paralysis in myasthenia gravis with anti-MuSK antibodies. Neurology. 2007, 68:621-2. 10.1212\/01.wnl.0000254617.15644.f4","journal-title":"Neurology"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.4103\/0972-2327.78049","article-title":"Vocal cord palsy: an uncommon presenting feature of myasthenia gravis","volume":"14","author":"Sethi PK","year":"2011","unstructured":"Sethi PK, Batra A, Sethi NK, Torgovnick J, Arsura E. Vocal cord palsy: an uncommon presenting feature of myasthenia gravis. Ann Indian Acad Neurol. 2011, 14:42-3. 10.4103\/0972-2327.78049","journal-title":"Ann Indian Acad Neurol"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.923750","article-title":"Cranial nerve IX and X weakness: an unusual initial presentation of myasthenia gravis","volume":"21","author":"Balabbigari N","year":"2020","unstructured":"Balabbigari N, Purewal J, Sakul N, Purewal A, Kankanala V, Califano T. Cranial nerve IX and X weakness: an unusual initial presentation of myasthenia gravis. Am J Case Rep. 2020, 21:4. 10.12659\/AJCR.923750","journal-title":"Am J Case Rep"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2019-234070","article-title":"Bilateral vocal fold paresis: the only presenting sign of anti-MUSK antibody myasthenia gravis","volume":"14","author":"Arman S","year":"2021","unstructured":"Arman S, Kock N, Mochloulis G, Kanabar G. Bilateral vocal fold paresis: the only presenting sign of anti-MUSK antibody myasthenia gravis. BMJ Case Rep. 2021, 14:7. 10.1136\/bcr-2019-234070","journal-title":"BMJ Case Rep"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/423307-respiratory-failure-due-to-bilateral-vocal-fold-paralysis-following-laparoscopic-cholecystectomy-a-rare-presentation-of-myasthenia-gravis","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T03:13:59Z","timestamp":1764040439000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/423307-respiratory-failure-due-to-bilateral-vocal-fold-paralysis-following-laparoscopic-cholecystectomy-a-rare-presentation-of-myasthenia-gravis"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,24]]},"references-count":20,"URL":"https:\/\/doi.org\/10.7759\/cureus.97706","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11,24]]}}}