Emergency Medicine Case of the Week
Case #15 -- Laryngeal Paralysis
Learning Objectives
| After reviewing this case you will be able to: |
- Recognize the signs of laryngeal paralysis
- Institute emergency procedures for animals in respiratory distress due to laryngeal
paralysis
- Know how to surgically treat these patients
|
Case Presentation by:
Tara Yerger, J.J. Goicoechea and David Haworth
Patient Profile: "Chip", a 12-year old, castrated male
German Shepherd.

History:
"Chip" presented to the emergency service on 9/23.
He was in severe respiratory distress and making a loud inspiratory noise.
Physical Examination:
Temp = 107 F! Heart rate = 160/minute.
Pulse rate = 160/minute. Respiratory rate = 90 breaths/minute. Body weight =
49 kg. "Chip" was depressed and staggered as he walked. Abdomen
palpated normally. No murmurs were heard. However, lung sounds were very
harsh.
Laboratory Findings:
Lymphopenia (200/uL) and thrombocytopenia
(171,000/uL). Potassium = 3.4 meq/L.
Thoracic Radiographs:


Questions:
- What underlying problems can cause laryngeal paralysis?
- What emergency treatments would you do for "Chip"?
- Although not evident in this case, what historical complaints do you usually hear from
owners of patients with laryngeal paralysis?
- What radiographic findings do you see?
- What surgical technique is commonly used to treat laryngeal paralysis and what
complications do you need to watch for after surgery?
Answers and Discussion:
Return to Introduction:
Copyright Wayne E. Wingfield, DVM and Brenda McClelland, DVM, Colorado State
University, 2000. All rights reserved.
This page was last edited: 03/01/00