title: Dural metastasis at medulla oblongata: a rare cause of vocal fold paralysis.
abstract: Malignancy is a major cause of vocal fold paralysis. Nevertheless, metastatic disease at the brainstem leading to high vagal paralysis is rarely encountered. We illustrate an unusual case of unilateral vocal fold paralysis caused by dural metastasis directly compressing on the nucleus ambiguus. The median position of the paralysed vocal fold is inconsistent with the Wagner and Grossman theory predicting the location of the lesion.
authors.affiliation: Division of Otorhinolaryngology, Prince of Wales Hospital, Hong Kong.
authors.forename: M W
authors.initials: MW
authors.lastname: Pak
authors.forename: H K
authors.initials: HK
authors.lastname: Mak
authors.forename: P K
authors.initials: PK
authors.lastname: Ku
authors.forename: C A
authors.initials: CA
authors.lastname: van Hasselt
mesh_terms: D001932:Brain Neoplasms / Q000150:complications* / Q000556:secondary*; D001933:Brain Stem / Q000473:pathology*; D004388:Dura Mater / Q000473:pathology*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D014826:Vocal Cord Paralysis / Q000209:etiology*