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Upper airway obstruction, though rare in patients with PD, can be life threatening and is related to vocal cord paralysis, laryngeal spasm, and dystonia of jaw and throat muscle tissue. Patient concerns We describe a life-threatening top airway obstruction caused by bilateral vocal cord paralysis, in an elderly man with PD, during extubation after basic anesthesia. Diagnoses According to medical presentation and aesthetic laryngoscopy, the patient ended up
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