Syringomyelia with syringobulbia presenting as vocal fold paralysis.
A 36-year-old woman presented with a history of change in voice of 1 month's duration and difficulty swallowing and episodes of nasal regurgitation of 6 days' duration. Examination revealed paralysis of the right vocal fold and the right side of the soft palate. On further investigation, she was found to have syringomyelia with syringobulbia and a Chiari type I malformation. She underwent foramen magnum decompression surgery and was followed up for 1 year. Her dysphagia and nasal regurgitation resolved, but no functional improvement was seen in either her vocal fold or palate.
Viswanatha
Borlingegowda
B
Department of ENT, Victoria Hospital and Bangalore Medical College and Research Institute, No. 716, 10th Cross, 5th Main, MC Layout, Vijayangar, Bangalore 560040, Karnataka, India. drbviswanatha@yahoo.co.in
D000328:Adult; D001139:Arnold-Chiari Malformation / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D019299:Decompression, Surgical; D003937:Diagnosis, Differential; D005260:Female; D005539:Foramen Magnum / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D013595:Syringomyelia / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000209:etiology* / Q000601:surgery