Paradoxical Vocal Cord Motion in a Pair of Twin Preterm Infants

Background: Intractable obstructive apneas requiring multiple intubations are rare innewborns. Case characteristics: We report a pair of twins born at 29 weeks gestationwho had severe obstructive apneas due to Paradoxical Vocal Cord Motion (PVCM).Outcome: The symptoms resolved promptly with ipratropium nebulization. Follow-up at12 months of age revealed normal development. Message: PVCM should be consideredin the differential diagnosis of intractable obstructive apneas in very low birth weightpreterm infants