Ortner's syndrome: case series and literature review

Subramaniam, Vijayalakshmi; Tv, Adarsha Herle; Mohammed, Navisha; Thahir, Muhammad

doi:10.1590/s1808-86942011000500004

Cited by 59 publications

(78 citation statements)

References 17 publications

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“…This thoracic course makes the recurrent laryngeal nerve vulnerable to injury and it has been suggested that compression of the nerve between the dilated pulmonary artery and the aorta occurs among almost all patients with cardiovascular disease. 7 In the current case, the left recurrent laryngeal nerve palsy was due to the compression of the nerve between the dilated pulmonary artery and thoracic aorta, in which the dilated pulmonary artery was secondary to pulmonary hypertension. Initially, the suspected cause of the recurrent laryngeal nerve palsy was a mediastinal lymph node; however, this was ruled out by the chest CT scan.…”

Section: Discussionmentioning

confidence: 61%

“…6 Other causes of hoarseness in cardiac disorders include lymphadenitis in the aortic window, pressure from the left bronchus, right ventricular hypertrophy, pulmonary artery atherosclerosis, the anatomical position of the ligamentum arteriosum, a dilated pulmonary artery, mitral regurgitation, atrial myxoma or a left ventricular aneurysm. 7 ethambutol. However, due to patient noncompliance, the treatment was discontinued after two months and was only resumed five months later.…”

Section: Discussionmentioning

confidence: 99%

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Cardiovocal Syndrome: A rare cause of hoarseness in a patient with a history of pulmonary tuberculosis

Nambiar¹,

Dae²,

Srikumar³

2018

Sultan Qaboos Univ Med J

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Hoarseness is a common clinical condition with underlying causes which can vary from reversible and benign to life-threatening and malignant. Cardiovocal syndrome may cause hoarseness secondary to left recurrent laryngeal nerve palsy when the recurrent laryngeal nerve is mechanically affected due to enlarged cardiovascular structures. We report a 28-year-old male who presented to the Government Medical College, Thiruvananthapuram, India, in 2013 with hoarseness. He had undergone irregular treatment for pulmonary tuberculosis (TB) two years previously. Fiber-optic laryngoscopy indicated left vocal cord palsy and a computed tomography scan of the chest revealed features of pulmonary hypertension with extensive enlargement of the pulmonary arteries. An echocardiogram confirmed severe pulmonary arterial hypertension with severe tricuspid regurgitation. He was diagnosed with left recurrent laryngeal palsy secondary to cardiovocal syndrome. Although reports exist of recurrent laryngeal palsy in TB, this case appears to be the first to report cardiovocal syndrome in a patient treated for pulmonary TB. Cardiovocal SyndromeA rare cause of hoarseness in a patient with a history of pulmonary tuberculosis Case ReportA 28-year-old male was admitted to the Government Medical College, Thiruvananthapuram, India, in 2013 with hoarseness persisting for three months. He also complained of a history of dyspnoea both upon moderate exertion during the last year and at rest over the past two days. He did not report any symptoms of coughing, haemoptysis, difficulty in swallowing, paroxysmal nocturnal dyspnoea, rheumatic fever or previous surgical interventions or trauma to the head and neck region. Two years previously, he had been diagnosed with open pulmonary TB and was prescribed a regimen of antitubercular therapy including isoniazid, rifampicin, pyrazinamide and

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Cardiovocal Syndrome: A rare cause of hoarseness in a patient with a history of pulmonary tuberculosis

Nambiar¹,

Dae²,

Srikumar³

2018

Sultan Qaboos Univ Med J

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“…Elimination of compression over the nerve may reverse the hoarseness if the duration is not critically long and nerve is not irreversibly damaged. However, ischemia related nerve damages are not associated with good prognosis [1][2][3][4].…”

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confidence: 99%

A Rare Cause of Ortner's Syndrome: Pulmonary Artery Aneurysm

Erdoğan¹

2017

Clin Med Img Lib

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“…Cardiovocal syndrome, or Ortner's syndrome, is an example of a disorder characterized by hoarseness, due to cardiovascular pathology, as described by Nobert Ortner (13,31,38). Cardiovocal syndrome is caused by an impaired ability of the left RLN to transmit impulses to laryngeal musculature because of stretching or impingement on the nerve from diseaseinduced changes in cardiac or great vessel anatomy (31).…”

mentioning

confidence: 99%

“…Cardiovocal syndrome is caused by an impaired ability of the left RLN to transmit impulses to laryngeal musculature because of stretching or impingement on the nerve from diseaseinduced changes in cardiac or great vessel anatomy (31). Hoarseness attributed by Ortner to left RLN damage caused by left atrium dilation in mitral stenosis is controversial.…”

mentioning

confidence: 99%

A computational study of the role of the aortic arch in idiopathic unilateral vocal-fold paralysis

Williams

Ayylasomayajula

Behkam

et al. 2015

Journal of Applied Physiology

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Unilateral vocal-fold paralysis (UVP) occurs when one of the vocal folds becomes paralyzed due to damage to the recurrent laryngeal nerve (RLN). Individuals with UVP experience problems with speaking, swallowing, and breathing. Nearly two-thirds of all cases of UVP is associated with impaired function of the left RLN, which branches from the vagus nerve within the thoracic cavity and loops around the aorta before ascending to the larynx within the neck. We hypothesize that this path predisposes the left RLN to a supraphysiological, biomechanical environment, contributing to onset of UVP. Specifically, this research focuses on the identification of the contribution of the aorta to onset of left-sided UVP. Important to this goal is determining the relative influence of the material properties of the RLN and the aorta in controlling the biomechanical environment of the RLN. Finite element analysis was used to estimate the stress and strain imposed on the left RLN as a function of the material properties and loading conditions. The peak stress and strain in the RLN were quantified as a function of RLN and aortic material properties and aortic blood pressure using Spearman rank correlation coefficients. The material properties of the aortic arch showed the strongest correlation with peak stress [ρ = -0.63, 95% confidence interval (CI), -1.00 to -0.25] and strain (ρ = -0.62, 95% CI, -0.99 to -0.24) in the RLN. Our results suggest an important role for the aorta in controlling the biomechanical environment of the RLN and potentially in the onset of left-sided UVP that is idiopathic.

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Ortner's syndrome: case series and literature review

Cited by 59 publications

References 17 publications

Cardiovocal Syndrome: A rare cause of hoarseness in a patient with a history of pulmonary tuberculosis

Cardiovocal Syndrome: A rare cause of hoarseness in a patient with a history of pulmonary tuberculosis

A Rare Cause of Ortner's Syndrome: Pulmonary Artery Aneurysm

A computational study of the role of the aortic arch in idiopathic unilateral vocal-fold paralysis

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