title: Bilateral vocal cord palsy due to brain-stem cavernoma--a diagnostic dilemma!
abstract: 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.
authors.affiliation: Department of Neuroanaesthesiology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Z
authors.initials: Z
authors.lastname: Ali
authors.forename: H
authors.initials: H
authors.lastname: Prabhakar
authors.forename: G P
authors.initials: GP
authors.lastname: Rath
authors.forename: D
authors.initials: D
authors.lastname: Singh
mesh_terms: 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