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Journal of Case Reports
A Silent Thrombus and a Cord Palsy: A Sinister Combination
Saranya Thangavel, Arun Alexander, Sunil Kumar Saxena
Department of ENT, Jawaharlal Institute of Post Graduate Medical Education and Research, Pondicherry, India.
Corresponding Author:
Dr Arun Alexander
Email: arunalexandercmc@gmail.com
Received: 08-OCT-2020 Accepted: 05-SEP-2022 Published Online: 25-SEP-2022
DOI: http://dx.doi.org/10.17659/01.2022.0025
Background: A multitude of causes have been attributed to unilateral recurrent laryngeal nerve palsy. In the absence of a local or a regional cause for palsy, it is prudent to look into distant and rarer causes. Case Report: A 70-year-old male presented with the complaints of hoarseness of 3 months that was insidious in onset and progressive. Contrast enhanced computed tomography of neck and thorax showed left vocal cord palsy with silent thrombus in arch of aorta extending to ascending aorta. The results of cardiac auscultation and electrocardiography were normal. Conclusion: Cardiovascular causes have to be kept in mind, for they may lead to grave complications if missed when vocal cord palsy is the only presenting complaint. This underscores the importance of the knowledge of these rarer but sinister causes. Here we present a rare case of isolated left vocal cord palsy being the only presenting feature of a silent aortic arch thrombus.
Keywords : Coronary Thrombosis, Radiography, Recurrent Laryngeal Nerve, Unilateral Paralysis, Vagus Nerve.
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