The vocal cord dysfunction syndrome is a disease characterized by short crisis of dyspnea
due to a paradoxical movement in adduction of vocal cords, with consequent laringeal
narrowing, mainly inspiratory dyspnea/apnea and choking feeling. This manifestation
is often interpreted and treated as asthma, also because, usually, these crisis follow
physical exercise. The diagnosis is essentially based on the careful collection of the clinical
history elements characterizing the dyspnoic crisis and excluding alternative diagnosis
(negative physical examination and negative instrumental diagnostical check). This
kind of dysfunction is considered as a conversion disease and no pharmacological treatment
is available. When just the communication to patients and parents that this illness is
harmless and not dangerous is not sufficient to solve the problem, speech therapy and
breath re-education are used.
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