International Journal of Phonosurgery & Laryngology

Register      Login

VOLUME 2 , ISSUE 2 ( July-December, 2012 ) > List of Articles

CASE REPORT

An Unusual cause for Vocal Cord Palsy: Case Record

GM Divya, Bipin Thomas Varghese, Paul Sebastian

Citation Information : Divya G, Varghese BT, Sebastian P. An Unusual cause for Vocal Cord Palsy: Case Record. Int J Phonosurg Laryngol 2012; 2 (2):88-90.

DOI: 10.5005/jp-journals-10023-1047

Published Online: 00-12-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objectives

We report a case of granulomatous lesion infiltrating the recurrent laryngeal nerve to produce vocal cord palsy, the diagnostic dilemma posed by it and its management.

Materials and methods

Clinical documentation of a 52-yearold man who presented with hoarseness of 3 months duration is presented. The clinical examination revealed immobile left vocal cord and a bulky (Lt) ventricular band with a suspicious ulcer on its posterior aspect. A computed tomographic (CT) scan of the neck and chest revealed a 1 × 1 cm nodular lesion in the tracheoesophageal groove.

Conclusion

Causes for vocal cord palsies are wide ranging and predominantly include malignant infiltration of the vagus or the recurrent laryngeal nerve. The anatomical site of involvement can be clinically and radiologically assessed with ease. Vocal cord palsy due to recurrent laryngeal nerve involvement by a granulomatous lesion is an unreported phenomenon and we believe that this is the first case to be reported in literature.

Summary

An unusual case of recurrent laryngeal nerve granuloma is reported with the diagnostic dilemma that it presented. This was successfully managed by surgical excision and postoperative antituberculosis treatment.

How to cite this article

Varghese BT, Sebastian P, Divya GM. An Unusual cause for Vocal Cord Palsy: Case Record. Int J Phonosurg Laryngol 2012;2(2):88-90.


PDF Share
  1. Rehabilitation of speech and swallowing. In: Stell and Marans (Eds). Head and neck surgery (4th ed). Hodder Arnold 2008;2:362.
  2. Valvassoris imaging of the head and neck (2nd ed). Illustrated published by Thieme 2004.
  3. An adult case of cervico-mediastinal tuberculous lymphadenitis. Nihon Kokyuki Gakkai Zasshi 2000 Mar;38(3):223-28.
  4. A benign parathyroid cyst presenting with hoarse voice. J Laryngol Otol 2000;114(2):147-48.
  5. Neurofibroma of the recurrent nerve: Apropos of a case. Rev Laryngol Otol Rhinol (Bord). 1995;116(3):225-28.
  6. Tuberculoma of the ulnar nerve: Case report. Neurosurgery 1988 May;22(5):906-07.
  7. Peripheral nerve granuloma in a patient with tuberculosis. J Neurol Neurosurg Psychiatry 2002 Dec;73(6):769-71.
  8. Thorotrast granuloma of the pharynx with left total recurrent paralysis, 18 years after angiography. Pract Otorhinolaryngol (Basel) 1962;24:121-24.
  9. ORL J Otorhinolaryngol Relat Spec 1994 Nov-Dec;56(6):352-56.
  10. A case of sarcoidosis presenting with hoarseness and dysphagia due to glossopharyngeal and vagus nerve paresis. Nihon Kyobu Shikkan Gakkai Zasshi 1994 Jun;32(6):602-05.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.