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Apart from the last-named cause of complete or partial immobility of a vocal cord in the course of laryngeal tuberculosis, such impairment may be the result also of (a) functional weakness of the laryngeal muscles, particularly of the adductors, which is sometimes met with even in the earliest stage of laryngeal tuberculosis; and (b) of pressure upon one or both recurrent laryngeal nerves (collagen glucosamine complex side effects). The spastic phenomena are probably due to an increased irritability of the adductor not set up a mere cough, as under normal conditions, but spasmodic coughing, spasm of the glottis, general convulsions, in short"a crisis." It "phenocane wiki" also explains the influence of cocaine applications upon the larynx in laryngeal crises.

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