Sarcoidosis Presenting as Bilateral Vocal Cord Paralysis From Bilateral Compression of the Recurrent Laryngeal Nerves From Thoracic Adenopathy

Coffey, Charles S.; Vallejo, Stacey L.; Farrar, E; Judson, Marc A.; Halstead, Lucinda A.

doi:10.1016/j.jvoice.2008.01.009

Cited by 20 publications

(21 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our case, the mediastinal lymph nodes were swollen, but they were not so large as to compress both of the recurrent pharyngeal nerves (Fig. 2), as shown in previous cases of bilateral vocal cord paralysis due to the compression by lymphadenopathy for sarcoidosis (9,10).…”

Section: Discussionsupporting

confidence: 82%

“…However, there are only a few reports describing that sarcoidosis caused bilateral vocal cord paralysis (9,10). We herein report a rare case of bilateral vocal cord paralysis due to the bilateral vagal nerve involvement of sarcoidosis.…”

Section: Introductionmentioning

confidence: 76%

“…Nonetheless, in approximately 75% of the patients with sarcoidosis, nodal enlargements in the right paratracheal or aortopulmonic window lesions have been identified (16), and case reports of vocal cord paralysis due to the compression of the enlarged mediastinal lymph nodes are rare (3)(4)(5)(6)(7)(8)(9)(10)17). Most cases of unilateral vocal cord paralysis in sarcoidosis tend to occur in the left vocal cord as a result of left recurrent laryngeal nerve palsy by the lymph nodes as they hook around the arch of the aorta (3)(4)(5)(6)(7)(8).…”

Section: Discussionmentioning

confidence: 99%

“…Corticosteroid therapy is performed in most cases of vocal cord paralysis with sarcoidosis (3,(5)(6)(7)(8)(9)(10)17). One case was caused by both compressive lymphadenopathy and cranial polyneuritis (10).…”

Section: Discussionmentioning

confidence: 99%

“…One case was caused by both compressive lymphadenopathy and cranial polyneuritis (10). All of the other cases were caused only by compressive lymphadenopathy (3,(5)(6)(7)(8)(9)(10)17).…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Sarcoidosis Presenting as Bilateral Vocal Cord Paralysis due to Bilateral Vagal Nerve Involvement

et al. 2016

View full text Add to dashboard Cite

We herein report a rare case of sarcoidosis presenting as bilateral vocal cord paralysis due to bilateral vagal nerve involvement. A 72-year-old woman with uveitis of the left eye complained of hoarseness and aspiration due to bilateral vocal cord paralysis. An endobronchial needle aspiration biopsy specimen of the mediastinal lymph nodes showed non-caseating epithelioid cell granuloma. Total protein and cell concentrations in the cerebrospinal fluid were increased. We diagnosed her to have sarcoidosis with bilateral vagal nerve involvement. Corticosteroid therapy improved her symptoms of hoarseness and aspiration. Sarcoidosis should therefore be taken into consideration as a potential cause of bilateral vocal cord paralysis.

show abstract

Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…One case was caused by both compressive lymphadenopathy and cranial polyneuritis (10). All of the other cases were caused only by compressive lymphadenopathy (3,(5)(6)(7)(8)(9)(10)17).…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Sarcoidosis Presenting as Bilateral Vocal Cord Paralysis due to Bilateral Vagal Nerve Involvement

et al. 2016

View full text Add to dashboard Cite

show abstract

Sarcoidosis presenting as vocal cord palsy: an unusual presentation and literature review

Raja

Javed

Zubairi

2020

Respirology Case Reports

View full text Add to dashboard Cite

We report the case of a 60‐year‐old woman, presenting with left vocal cord paralysis (VCP). Diagnostic evaluation revealed sarcoidosis to be the underlying pathology. Computed tomography (CT) scans exhibited enlarged subcarinal, pretracheal, and prevascular lymph nodes as the possible mechanism of left VCP through compression of the left recurrent laryngeal nerve. Initial treatment with oral prednisolone and azathioprine led to remission of symptoms; however, tapering of dosage led to relapse of cough without any signs of VCP. The dosage of prednisolone was further boosted, leading to complete remission. A review of literature reveals 20 cases have been reported to date, with all but one involving the left vocal cord. This is the first reported case, with a relapse of the disease without a relapse of VCP, indicating the rarity of sarcoidosis‐associated VCP.

show abstract

Sarcoidosis and its otolaryngological implications

Mrówka-Kata¹,

Kata

Lange

et al. 2010

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

Sarcoidosis Presenting as Bilateral Vocal Cord Paralysis From Bilateral Compression of the Recurrent Laryngeal Nerves From Thoracic Adenopathy

Cited by 20 publications

References 9 publications

Sarcoidosis Presenting as Bilateral Vocal Cord Paralysis due to Bilateral Vagal Nerve Involvement

Sarcoidosis Presenting as Bilateral Vocal Cord Paralysis due to Bilateral Vagal Nerve Involvement

Sarcoidosis presenting as vocal cord palsy: an unusual presentation and literature review

Sarcoidosis and its otolaryngological implications

Contact Info

Product

Resources

About