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However, the case reported by David and Lim involved the delayed onset of symptoms at two years of age that may have increased over the next three years. This acquired and possibly progressive disease process differs from that of congenital BVFD. The likelihood of ArnoldChiari malformation or another significant structural CNS abnormality being present would appear to be higher when symptoms of BVFD are acquired later in life compared to when they are present at birth.

CNS Imaging is Essential in Acquired Bilateral Vocal Fold Dysfunction in Children