Dysphagia and hoarseness associated with painless aortic dissection: A rare case of cardiovocal syndrome

被引：25

作者：

Lee, Sang-Il ^{[1
]}

Pyun, Sung-Bom ^{[1
]}

Jang, Dae-Hyun ^{[1
]}

机构：

[1] Univ Ulsan, Dept Phys Med & Rehabil, Asan Med Ctr, Coll Med, Seoul 138736, South Korea

来源：

DYSPHAGIA | 2006年 / 21卷 / 02期

关键词：

dysphagia; hoarseness; recurrent laryngeal nerve palsy; aortic dissection; aspiration pneumonia; deglutition; deglutition disorders;

D O I：

10.1007/s00455-006-9015-x

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Cardiovocal syndrome (Ortner's syndrome) is characterized by left recurrent laryngeal nerve palsy due to cardiovascular disease, but in rare cases it can also be caused by aortic dissection. An 81-year-old man with hypertension was admitted to the hospital with aspiration pneumonia. He had been developing progressive dysphagia and hoarseness for several months before admission. A videofluoroscopic swallowing study showed supraglottic penetration with barium paste and liquid. Laryngoscopy and electromyography revealed left vocal cord palsy caused by left recurrent laryngeal neuropathy, and a contrast-enhanced chest CT revealed dissection of the aortic arch.

引用

页码：129 / 132

页数：4

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