[Paralysis of vocal fold as the first symptom of Vernet's syndrome in the course of jugular chemodectoma].
BACKGROUND
Chemodectomas are relatively frequent tumors of the head and neck but their diagnosis in consideration of the slow growth is difficult. The aim of this study is pointing out of the attention on: (1) non-typical beginning of ill and diagnostic difficulties leading to delaying of putting the proper diagnosis, (2) symptoms which are cause of notifying the patient to the doctors of different specializations e.g. the laryngologist and the neurologist.


METHODS
The case of 72-year-old man with the paraganglioma situated near to the foramen of the jugular vein is discribed. Clinical symptoms, giving at last typical picture of Vernet's syndrome, the diagnostic procedure as well as treatment of the entity are discussed in the report.


CONCLUSIONS
(1) In cases of paralysis of any cranial nerve is necessary close cooperation among a laryngologist and a neurologist. (2) In idiopathical paralysis of the vocal fold, changes runing near by the internal jugular vein's foramen should be taken into account. (3) The computer scanning of skull's bases and angiograpy are the most useful in the differential diagnostics. (4) The radiotherapy allow to obtain good therapeutic's results especially in persons stricken in years.
Dqbrowska
Anna
A
Katedra i Klinika Otolaryngologii i Onkologii Laryngologicznej Pomorskiej AM. annad@ams.edu.pl
Jałowiński
Robert
R
Tarnowska
Czesława
C
Stankiewicz
Jan
J
Deptuła-Jarosz
Monika
M
D000368:Aged; D002533:Cerebral Angiography; D003389:Cranial Nerve Diseases / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005925:Glomus Jugulare Tumor / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014826:Vocal Cord Paralysis / Q000209:etiology*