title: Neuralgic amyotrophy associated with temporary vocal fold paralysis: successful treatment by vocal fold augmentation with hyaluronic acid.
abstract: BACKGROUND
  Neuralgic amyotrophy is a polyneuropathy that classically involves the brachial plexus. This paper reports an unusual clinical manifestation associated with vocal fold paralysis.
  
  
  METHODS
  A 36-year-old male presented with hoarseness and progressive weakness of the right shoulder and upper arm muscles. Laryngoscopy revealed a limited adduction of the right vocal fold.
  
  
  RESULTS
  Subsequent speech therapy did not improve the symptoms. Therefore, vocal fold augmentation by application of hyaluronic acid in the right vocal fold was performed.
  
  
  CONCLUSIONS
  Vocal fold augmentation with resorbable material seems to be a more effective transient treatment than speech therapy alone for patients with neuralgic amyotrophy and laryngeal involvement.
authors.affiliation: Department of Otorhinolaryngology,Jena University Hospital,Germany.
authors.forename: K
authors.initials: K
authors.lastname: Geißler
authors.affiliation: Department of Neurology,Jena University Hospital,Germany.
authors.forename: C M
authors.initials: CM
authors.lastname: Klingner
authors.affiliation: Department of Otorhinolaryngology,Jena University Hospital,Germany.
authors.forename: O
authors.initials: O
authors.lastname: Guntinas-Lichius
authors.affiliation: Department of Otorhinolaryngology,Jena University Hospital,Germany.
authors.forename: T
authors.initials: T
authors.lastname: Bitter
mesh_terms: D000328:Adult; D020968:Brachial Plexus Neuritis / Q000150:complications*; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use*; D008297:Male; D055675:Viscosupplements / Q000627:therapeutic use*; D014826:Vocal Cord Paralysis / Q000209:etiology* / Q000628:therapy*; D014827:Vocal Cords
chemical_list: D055675:Viscosupplements; D006820:Hyaluronic Acid
keywords: Drug Therapy