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Laryngospasm

MedGen UID:
44071
Concept ID:
C0023066
Disease or Syndrome
Synonyms: Laryngeal Spasm; Laryngeal Spasms; Laryngismus; Laryngospasms; Spasm, Laryngeal; Spasms, Laryngeal
SNOMED CT: Laryngeal spasm (406444002); Laryngospasm (406444002); Laryngismus (53787002)
 
HPO: HP:0025425

Definition

A spasm (involuntary contraction) of the vocal cords that can make it difficult to speak or breathe. [from HPO]

Conditions with this feature

Autosomal dominant hypocalcemia 1
MedGen UID:
87438
Concept ID:
C0342345
Disease or Syndrome
Autosomal dominant hypocalcemia-1 (HYPOC1) is associated with low or normal serum parathyroid hormone concentrations (PTH). Approximately 50% of patients have mild or asymptomatic hypocalcemia; about 50% have paresthesias, carpopedal spasm, and seizures; about 10% have hypercalciuria with nephrocalcinosis or kidney stones; and more than 35% have ectopic and basal ganglia calcifications (summary by Nesbit et al., 2013). Thakker (2001) noted that patients with gain-of-function mutations in the CASR gene, resulting in generally asymptomatic hypocalcemia with hypercalciuria, have low-normal serum PTH concentrations and have often been diagnosed with hypoparathyroidism because of the insensitivity of earlier PTH assays. Because treatment with vitamin D to correct the hypocalcemia in these patients causes hypercalciuria, nephrocalcinosis, and renal impairment, these patients need to be distinguished from those with other forms of hypoparathyroidism (see 146200). Thakker (2001) suggested the designation 'autosomal dominant hypocalcemic hypercalciuria' for this CASR-related disorder. Genetic Heterogeneity of Autosomal Dominant Hypocalcemia Autosomal dominant hypocalcemia-2 (HYPOC2; 615361) is caused by mutation in the GNA11 gene (139313) on chromosome 19p13.
Sudden infant death-dysgenesis of the testes syndrome
MedGen UID:
332428
Concept ID:
C1837371
Disease or Syndrome
Sudden infant death with dysgenesis of the testes syndrome (SIDDT) is characterized by sudden cardiac or respiratory arrest, disordered testicular development, and neurologic dysfunction, and is uniformly fatal before 1 year of age (Slater et al., 2020).
Potassium-aggravated myotonia
MedGen UID:
444151
Concept ID:
C2931826
Disease or Syndrome
In a report on the 37th ENMC Workshop, Rudel and Lehmann-Horn (1997) stated that the sodium channelopathies can be divided into 3 different forms: paramyotonia, potassium-aggravated myotonia, and periodic paralysis. Potassium-aggravated myotonia includes mild myotonia fluctuans, severe myotonia permanens, and acetazolamide-responsive myotonia.

Professional guidelines

PubMed

Rutt AL, Bojaxhi E, Torp KD
J Voice 2021 Jul;35(4):633-635. Epub 2020 Jan 24 doi: 10.1016/j.jvoice.2020.01.004. PMID: 31987708
von Ungern-Sternberg BS, Boda K, Chambers NA, Rebmann C, Johnson C, Sly PD, Habre W
Lancet 2010 Sep 4;376(9743):773-83. doi: 10.1016/S0140-6736(10)61193-2. PMID: 20816545
Larson CP Jr
Anesthesiology 1998 Nov;89(5):1293-4. doi: 10.1097/00000542-199811000-00056. PMID: 9822036

Recent clinical studies

Etiology

Vivekanandam V, Munot P, Jayaseelan DL
Handb Clin Neurol 2024;203:111-122. doi: 10.1016/B978-0-323-90820-7.00011-2. PMID: 39174243
Cosgrove P, Krauss BS, Cravero JP, Fleegler EW
Ann Emerg Med 2022 Dec;80(6):485-496. Epub 2022 Jun 23 doi: 10.1016/j.annemergmed.2022.05.002. PMID: 35752522
Harounian J, Postevka E, Jamal N
Curr Opin Otolaryngol Head Neck Surg 2019 Dec;27(6):482-488. doi: 10.1097/MOO.0000000000000580. PMID: 31567493
Kakava K, Tournis S, Papadakis G, Karelas I, Stampouloglou P, Kassi E, Triantafillopoulos I, Villiotou V, Karatzas T
In Vivo 2016 May-Jun;30(3):171-9. PMID: 27107072
Hampson-Evans D, Morgan P, Farrar M
Paediatr Anaesth 2008 Apr;18(4):303-7. doi: 10.1111/j.1460-9592.2008.02446.x. PMID: 18315635

Diagnosis

Vivekanandam V, Munot P, Jayaseelan DL
Handb Clin Neurol 2024;203:111-122. doi: 10.1016/B978-0-323-90820-7.00011-2. PMID: 39174243
Schep LJ, Slaughter RJ, Watts M, Mackenzie E, Gee P
Clin Toxicol (Phila) 2023 Jun;61(6):415-428. Epub 2023 Jun 2 doi: 10.1080/15563650.2023.2212125. PMID: 37267048
Rutt AL, Bojaxhi E, Torp KD
J Voice 2021 Jul;35(4):633-635. Epub 2020 Jan 24 doi: 10.1016/j.jvoice.2020.01.004. PMID: 31987708
Hampson-Evans D, Morgan P, Farrar M
Paediatr Anaesth 2008 Apr;18(4):303-7. doi: 10.1111/j.1460-9592.2008.02446.x. PMID: 18315635
Franco RA Jr
Allergy Asthma Proc 2006 Jan-Feb;27(1):21-5. PMID: 16598989

Therapy

Cosgrove P, Krauss BS, Cravero JP, Fleegler EW
Ann Emerg Med 2022 Dec;80(6):485-496. Epub 2022 Jun 23 doi: 10.1016/j.annemergmed.2022.05.002. PMID: 35752522
deSouza IS, Thode HC Jr, Shrestha P, Allen R, Koos J, Singer AJ
Am J Emerg Med 2022 Jan;51:363-373. Epub 2021 Nov 14 doi: 10.1016/j.ajem.2021.11.011. PMID: 34823192
Rutt AL, Bojaxhi E, Torp KD
J Voice 2021 Jul;35(4):633-635. Epub 2020 Jan 24 doi: 10.1016/j.jvoice.2020.01.004. PMID: 31987708
Harounian J, Postevka E, Jamal N
Curr Opin Otolaryngol Head Neck Surg 2019 Dec;27(6):482-488. doi: 10.1097/MOO.0000000000000580. PMID: 31567493
Fruth K, Gosepath J
Adv Otorhinolaryngol 2016;79:21-8. Epub 2016 Jul 28 doi: 10.1159/000445093. PMID: 27466843

Prognosis

Cosgrove P, Krauss BS, Cravero JP, Fleegler EW
Ann Emerg Med 2022 Dec;80(6):485-496. Epub 2022 Jun 23 doi: 10.1016/j.annemergmed.2022.05.002. PMID: 35752522
Holley D, Mendez A, Donald C
JAAPA 2019 Feb;32(2):31-34. doi: 10.1097/01.JAA.0000552724.72939.4c. PMID: 30694949
Graus F, Dalmau J
Curr Opin Neurol 2012 Dec;25(6):795-801. doi: 10.1097/WCO.0b013e328359da15. PMID: 23041955Free PMC Article
Green SM, Roback MG, Krauss B; Emergency Department Ketamine Meta-Analysis Study Group
Pediatr Emerg Care 2010 Nov;26(11):798-802. doi: 10.1097/PEC.0b013e3181fa8737. PMID: 20944510
Holzki J, Laschat M
Paediatr Anaesth 2008 Nov;18(11):1144-6. doi: 10.1111/j.1460-9592.2008.02816.x. PMID: 18950364

Clinical prediction guides

Zhang Y, Jiang Y, Lei Q, Li C, Jin S, Wang Q, Huang Y, Li Y, Hong Y, Wang S, Lin H, Li H, Ou Y, Zou X, Sun Q, Guo Q, Chen Z, Min S, Qi Y, Jie Q, Liu J, Liu B, Zhang W
Br J Anaesth 2024 Jan;132(1):45-52. Epub 2023 Nov 25 doi: 10.1016/j.bja.2023.10.022. PMID: 38007377
Cosgrove P, Krauss BS, Cravero JP, Fleegler EW
Ann Emerg Med 2022 Dec;80(6):485-496. Epub 2022 Jun 23 doi: 10.1016/j.annemergmed.2022.05.002. PMID: 35752522
Shi J, Li A, Wei Z, Liu Y, Xing C, Shi H, Ding H, Pan D, Ning G, Feng S
Am J Emerg Med 2018 Jul;36(7):1280-1286. Epub 2018 Apr 5 doi: 10.1016/j.ajem.2018.04.010. PMID: 29656945
Graus F, Dalmau J
Curr Opin Neurol 2012 Dec;25(6):795-801. doi: 10.1097/WCO.0b013e328359da15. PMID: 23041955Free PMC Article
Green SM, Roback MG, Krauss B; Emergency Department Ketamine Meta-Analysis Study Group
Pediatr Emerg Care 2010 Nov;26(11):798-802. doi: 10.1097/PEC.0b013e3181fa8737. PMID: 20944510

Recent systematic reviews

deSouza IS, Thode HC Jr, Shrestha P, Allen R, Koos J, Singer AJ
Am J Emerg Med 2022 Jan;51:363-373. Epub 2021 Nov 14 doi: 10.1016/j.ajem.2021.11.011. PMID: 34823192
Yang SS, Wang NN, Postonogova T, Yang GJ, McGillion M, Beique F, Schricker T
Br J Anaesth 2020 Mar;124(3):314-323. Epub 2020 Jan 28 doi: 10.1016/j.bja.2019.11.033. PMID: 32000978
Kakava K, Tournis S, Papadakis G, Karelas I, Stampouloglou P, Kassi E, Triantafillopoulos I, Villiotou V, Karatzas T
In Vivo 2016 May-Jun;30(3):171-9. PMID: 27107072
Verma V, Beethe AB, LeRiger M, Kulkarni RR, Zhang M, Lin C
Pract Radiat Oncol 2016 May-Jun;6(3):143-154. Epub 2015 Oct 31 doi: 10.1016/j.prro.2015.10.018. PMID: 26725960
Mihara T, Uchimoto K, Morita S, Goto T
Anaesthesia 2014 Dec;69(12):1388-96. Epub 2014 Jul 3 doi: 10.1111/anae.12788. PMID: 24992191

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