Ortner's syndrome--a rare cause of unilateral vocal cord paralysis: a case report.
Hoarseness attributed to vocal cord palsy is associated with injury to the recurrent laryngeal nerve. Hoarseness resulting from left recurrent laryngeal nerve palsy, cardiovocal syndrome (Ortner's syndrome), has rarely been reported. We present the case of a 79-year-old male suffering from hoarseness in the absence of significant clinical manifestations. A flexible laryngoscope was used to identify a paralyzed left vocal cord, and contrast-enhanced computed tomography showed a large thrombus-filled aneurysmal dilation of the aortic arch. The severity of the vocal cord paralysis was improved by surgical intervention. This case illustrates that life-threatening cardiovascular comorbidities can cause hoarseness and that an impaired recurrent laryngeal nerve might be correctable.
Chen
Rong-Feng
RF
Department of Otolaryngology, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
Lin
Chen-Tung
CT
Lu
Chih-Hao
CH
D000368:Aged; D002318:Cardiovascular Diseases / Q000150:complications; D006685:Hoarseness / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography; D061226:Recurrent Laryngeal Nerve Injuries; D014826:Vocal Cord Paralysis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014827:Vocal Cords / Q000000981:diagnostic imaging / Q000294:innervation