title: RADIOLOGY OF THE MONTH: Vocal Cord Dysfunction with Multiple Cranial Neuropathies.
abstract: A 67-year-old female presented to our institution with a progressive history of hoarseness for the past six months. The patient also referred shoulder weakness and cough during the same period of time. She denied weight loss and tobacco use. Past medical history was negative for squamous cell carcinoma of the head and neck region. Physical examination demonstrated asymmetry of the sternocleidomastoid and trapezius muscles. Flexible laryngoscopy was performed and revealed complete unilateral vocal cord paralysis on the right. Magnetic Resonance (MR) of the brain with intravenous contrast (Figure 1) and computer tomography (CT) of soft tissue of the neck with contrast (Figure 2) were performed for further evaluation.
authors.affiliation: Medical doctor from Bogota, Columbia.
authors.forename: Juan S
authors.initials: JS
authors.lastname: Gomez
authors.affiliation: Professor of Radiology at Tulane University Health Sciences Center, New Orleans, LA.
authors.forename: Enrique
authors.initials: E
authors.lastname: Palacios
authors.affiliation: Assistant Clinical Professor of Radiology at Tulane University Health Sciences Center in New Orleans, LA.
authors.forename: Jeremy B
authors.initials: JB
authors.lastname: Nguyen
authors.affiliation: Digital Imaging Specialist and Graphic Designer for the Department of Radiology at Tulane University Health Sciences Center in New Orleans, LA.
authors.forename: Donald
authors.initials: D
authors.lastname: Olivares
authors.affiliation: professor of Radiology and Chairman of the Department of Radiology at Tulane University Health Sciences Center, New Orleans, LA.
authors.forename: Harold R
authors.initials: HR
authors.lastname: Neitzschman
mesh_terms: D000368:Aged; D003389:Cranial Nerve Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D006801:Humans; D014057:Tomography, X-Ray Computed; D064706:Vocal Cord Dysfunction / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology