Acoustic schowannoma and vocal cord palsy

Case contributed by Dr Bahman Rasuli

Presentation

Hoarseness, breathy voice and tinnitus.

Patient Data

Age: 70 years
Gender: Female

Left side vocal cord paralysis associated with anteromedial deviation of arytenoid cartilage is seen.

Incidental note is made of a 20 mm large avid enhancing acoustic neuroma indenting brain stem at the left side.

Case Discussion

Identifying the underlying cause of vocal cord paralysis has resulted in a decrease in the incidence of cases labeled "idiopathic" post clinical evaluation and can assist in appropriate treatment.

Although this case had an acoustic neuroma based on MRI findings, it is unlikely to be the cause of vocal cord paralysis.

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