- 期刊
Ortner's Syndrome-A Rare Cause of Unilateral Vocal Cord Paralysis: A Case Report
Ortner's症候群－罕見造成單側聲帶麻痺原因－病例報告
摘要
Ortner's syndrome亦可稱為心因性聲帶麻痺(cardiovocal syndrome)，主要因為心臟血管疾病，壓迫到左喉返神經而造成聲音沙啞或吞嚥困難等症狀，在臨床上頗為罕見。最近經歷一位79歲男性至本科門診求診，主訴聲音沙啞約3週，過去並無任何內科病史，經軟式咽喉內視鏡檢查，發現其為左側聲帶麻痺，經胸部X光及胸部電腦斷層檢查，證實為一巨大之胸主動脈瘤，此病患接受主動脈血管置換手術，術後追蹤其左側聲帶麻痺症狀獲得改善。聲音沙啞為耳鼻喉科醫師臨床上常見之問題，而因心臟血管疾病引起之聲音沙啞並不常見，故希望臨床上對於單側聲帶麻痺之病人，能將此疾病列入鑑別診斷，因為聲音沙啞症狀背後可能潛藏著有生命威脅的疾病，能早期診斷及治療對病人的預後有很大的幫助。
並列摘要
Hoarseness attributed to vocal cord palsy is associated with injury to the recurrent laryngeal nerve. Hoarseness resulting from left recurrent laryngeal nerve palsy, cardiovocal syndrome (Ortner's syndrome), has rarely been reported. We present the case of a 79-year-old male suffering from hoarseness in the absence of significant clinical manifestations. A flexible laryngoscope was used to identify a paralyzed left vocal cord, and contrast-enhanced computed tomography showed a large thrombus-filled aneurysmal dilation of the aortic arch. The severity of the vocal cord paralysis was improved by surgical intervention. This case illustrates that life-threatening cardiovascular comorbidities can cause hoarseness and that an impaired recurrent laryngeal nerve might be correctable.
延伸閱讀
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