RADIOLOGY OF THE MONTH: Vocal Cord Dysfunction with Multiple Cranial Neuropathies

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 carcin...

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Bibliographic Details
Published inThe Journal of the Louisiana State Medical Society Vol. 167; no. 2; p. 100
Main Authors Gomez, Juan S, Palacios, Enrique, Nguyen, Jeremy B, Olivares, Donald, Neitzschman, Harold R
Format Journal Article
LanguageEnglish
Published United States 01.03.2015
Subjects
Aged
Cranial Nerve Diseases - complications
Cranial Nerve Diseases - diagnostic imaging
Cranial Nerve Diseases - physiopathology
Female
Humans
Tomography, X-Ray Computed
Vocal Cord Dysfunction - diagnostic imaging
Vocal Cord Dysfunction - etiology
Vocal Cord Dysfunction - physiopathology
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Summary: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.
ISSN:0024-6921