A Case of Neonatal Bilateral Vocal Cord Paralysis Presenting with Stridor

Stridor is an alarming and life-threatening clinical sign that requires an immediate, thorough and careful physical examination. Treatment varies according to pathology. Vocal cord paralysis is the second most common cause of neonatal stridor. A 12-day-old neonate was admitted with complaints of cough, respiratory distress and stridor, which did not improve with supportive therapy. Severe edema, vascularization and bilateral vocal cord paralysis were observed in the larynx during laryngoscopy. A tracheostomy tube was inserted. The patient had noisy breathing, however feeding and other activities returned to normal. Vocal cord paralysis should be considered if stridor is observed in a neonate.