Acoustic schowannoma and vocal cord palsy
Hoarseness, breathy voice and tinnitus.
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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.
Identifying the underlying cause of vocal cord paralysis has resulted in a decrease in the incidence of cases labelled "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.