Hoarseness as the sole symptom of an impending thoracic aneurysm rupture?

Unilateral vocal cord palsy secondary to thoracic aortic aneurysm is a rare occurrence. Direct compression of the enlarging thoracic aneurysm on the left recurrent laryngeal nerve causes neuronal injury of the nerve, which is manifested as hoarseness. We present a rare case of unilateral vocal co...

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Bibliographic Details
Main Authors: Rohaizam Jaafar, Irfan Mohamad
Format: Article
Language:English
Published: Academy of Family Physicians of Malaysia 2014-04-01
Series:Malaysian Family Physician
Subjects:
Online Access:http://e-mfp.org/pdf/2014v9n1/hoarseness-as-the-sole-symptom-of-an-impending-thoracic-aneurysm-rupture.pdf
Description
Summary:Unilateral vocal cord palsy secondary to thoracic aortic aneurysm is a rare occurrence. Direct compression of the enlarging thoracic aneurysm on the left recurrent laryngeal nerve causes neuronal injury of the nerve, which is manifested as hoarseness. We present a rare case of unilateral vocal cord palsy in a 60-year-old healthy gentleman caused by a large thoracic aortic aneurysm. This rare presentation, with a serious underlying pathology might be misdiagnosed or delayed. Therefore, it is important for us to have high index of suspicion in cases with a rare presentation such as this.
ISSN:1985-2274