Bilateral vocal cord palsy due to brain-stem cavernoma--a diagnostic dilemma!
Vocal cord palsy may result from varied causes. However, cord palsy resulting from a brain-stem cavernoma has never been reported. We report a patient with vocal cord palsy in a 30-year-old male resulting from the brain-stem lesion. The patient became symptomatic each time the lesion bled and improved gradually when the bleeding resolved. Repeated insults on the brain-stem produced permanent cord palsy. Although a rare presentation, brain-stem cavernoma may be considered in the aetiology of cord palsy.
Ali
Z
Z
Department of Neuroanaesthesiology, All India Institute of Medical Sciences, New Delhi, India.
Prabhakar
H
H
Rath
G P
GP
Singh
D
D
D000328:Adult; D020295:Brain Stem Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003399:Craniotomy; D020786:Hemangioma, Cavernous, Central Nervous System / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008866:Microsurgery; D009378:Neoplasms, Multiple Primary / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D012131:Respiratory Insufficiency / Q000209:etiology / Q000601:surgery; D014826:Vocal Cord Paralysis / Q000209:etiology*; D014827:Vocal Cords / Q000601:surgery