An unusual cause of hoarseness.
A 55-year-old man had a 3 month history of hoarseness and choking when he drinks liquids. Physical examination revealed evidence of left sided palsy of 9th, 10th, 11th and 12th cranial nerves. A brain MRI revealed a skull base lytic lesion. The authors diagnosed Collet-Sicard syndrome. The patient was found to have colon cancer. He received palliative skull radiotherapy and died few weeks later in hospice care.
Department of Internal Medicine, University of Texas, Health Science Center at Houston, Houston, Texas, USA. hussam.m.ammar@uth.tmc.edu
Hussam
H
Ammar
Ragai
R
Fouda
D003110:Colonic Neoplasms / Q000175:diagnosis; D003389:Cranial Nerve Diseases / Q000175:diagnosis*; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006685:Hoarseness / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019292:Skull Base Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000532:radiotherapy; D013577:Syndrome