Vocal cord dysfunction is one of the causes of
dyspnea and is characterized by paradoxical closure of the
vocal cords. The paradoxical
movement of the
vocal cords produces the limitation of airflow, resulting
dyspnea,
chest tightening,
hoarseness,
stridor, or
wheezing. These findings are
similar to those of other upper
airway obstruction diseases or
asthma; therefore, a high index of suspicion and clear
differential diagnosis are required. Here, we discuss a case of
vocal cord dysfunction aged 10 years that presented recurrent
wheezing and
dyspnea. The
abnormal movement of the
vocal cords was observed by fiberoptic laryngotracheobronchoscopy, which was correlated with
stridor during
respiration. Repeated episodic symptoms were controlled by the multidisciplinary team approach; however, surgical
treatment was needed to stabilize the symptom.