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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 81(4)

Unique presentation of cricoid cartilage fracture causing intermittent dyspnea without preceding trauma

https://doi.org/10.18999/nagjms.81.4.687
https://doi.org/10.18999/nagjms.81.4.687
bb1271f2-aed9-4d1e-89e2-ab5c50eee047
名前 / ファイル ライセンス アクション
15_Matsuo.pdf 15_Matsuo.pdf (19.0 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2019-11-26
タイトル
タイトル Unique presentation of cricoid cartilage fracture causing intermittent dyspnea without preceding trauma
著者 Matsuo, Yuichiro

× Matsuo, Yuichiro

WEKO 94477

Matsuo, Yuichiro

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Yamada, Toru

× Yamada, Toru

WEKO 94478

Yamada, Toru

Search repository
Hiraoka, Eiji

× Hiraoka, Eiji

WEKO 94479

Hiraoka, Eiji

Search repository
キーワード
主題Scheme Other
主題 cricoid cartilage
キーワード
主題Scheme Other
主題 cartilage fractures
キーワード
主題Scheme Other
主題 paroxysmal dyspnea
抄録
内容記述 Cricoid cartilage fracture is generally caused by significant neck trauma and causes continuous dyspnea, neck pain, or hoarseness developing immediately after the traumatic episode. A 69-year-old woman without any history of trauma was admitted to our hospital with intermittent dyspnea. Six months before admission she had started to complain of dyspnea occurring several times a month without warning, improving spontaneously within a few hours without treatment. Her primary care doctor diagnosed asthma and she was treated with inhaled short-acting beta agonists and glucocorticoids, without improvement. On initial evaluation at our hospital, the cause of dyspnea was unclear. Laryngoscopy was performed, which excluded vocal cord dysfunction. A further attack of dyspnea occurred on the fourth admission day. Stridor was evident during the attack, and bronchoscopy revealed subglottic narrowing of the trachea on both inspiration and expiration with no mass or foreign objects. Computed tomography (CT) of the neck revealed cricoid cartilage fracture causing airway narrowing and dyspnea. She was orally intubated, and tracheostomy was performed 2 weeks later to maintain her airway, which resolved her dyspnea. This patient’s presentation was unique in two aspects. First, there was no history of trauma that may cause her cricoid cartilage fracture. Second, her symptoms of dyspnea were intermittent rather than continuous. These aspects led to suspicions of other diseases such as asthma or vocal cord dysfunction, thus delaying the diagnosis. Cricoid cartilage fracture should be considered in patients with dyspnea of unknown cause, irrespective of continuous or intermittent symptoms and preceding traumatic episodes.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.81.4.687
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/814.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 81, 号 4, p. 687-691, 発行日 2019-11
著者版フラグ
値 publisher
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