Benign Rolandic epilepsy presenting like paradoxical vocal fold motion

Jennifer H. Gross, Mary Bertrand, Keiko Hirose

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Paradoxical vocal fold motion (PVFM) is characterized by vocal fold adduction during respiration. Benign Rolandic epilepsy (BRE) is the most common childhood epilepsy and can cause oropharyngolaryngeal or facial manifestations. A 9-year-old male presented with intermittent apnea lasting 30–60 seconds and presumed PVFM. The patient's physical and fiberoptic exam were normal. He was admitted and found to have episodes of oxygen desaturation, neck twitching, and tongue burning. An EEG revealed focal epilepsy. After starting anti-epileptic medications, he had resolution of symptoms. Our patient was eventually diagnosed with BRE, a focal onset epilepsy that can mimic primary otolaryngologic disease.

Original languageEnglish
Pages (from-to)154-156
Number of pages3
JournalInternational Journal of Pediatric Otorhinolaryngology
StatePublished - Nov 2017


  • Apnea
  • Children
  • Epilepsy
  • Laryngeal spasm
  • Paradoxical vocal fold motion


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