Presentation
Hoarseness, breathy voice and tinnitus.
Patient Data
Age: 70 years
Gender: Female
From the case:
Acoustic schowannoma and vocal cord palsy
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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.
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.