声音嘶哑作为即将发生的胸主动脉瘤破裂的唯一症状？
Hoarseness as the sole symptom of an impending thoracic aneurysm rupture?
作者信息
Jaafar R, Mohamad I
机构信息
Department of ORL-Head & Neck Surgery, School of Medical Sciences, Health Campus, Universiti Sains Malaysia.
出版信息
Malays Fam Physician. 2014 Apr 30;9(1):25-7. eCollection 2014.
Abstract
Unilateral vocal cord palsy secondary to thoracic aortic aneurysm is a rare occurrence. Direct compression of the enlarging thoracic aneurysm on the left recurrent laryngeal nerve causes neuronal injury of the nerve, which is manifested as hoarseness. We present a rare case of unilateral vocal cord palsy in a 60-year-old healthy gentleman caused by a large thoracic aortic aneurysm. This rare presentation, with a serious underlying pathology might be misdiagnosed or delayed. Therefore, it is important for us to have high index of suspicion in cases with a rare presentation such as this.
摘要
继发于胸主动脉瘤的单侧声带麻痹较为罕见。增大的胸主动脉瘤直接压迫左喉返神经，导致该神经发生神经元损伤，表现为声音嘶哑。我们报告了一例60岁健康男性因巨大胸主动脉瘤导致单侧声带麻痹的罕见病例。这种伴有严重潜在病理状况的罕见表现可能会被误诊或延误诊断。因此，对于此类罕见表现的病例，我们保持高度怀疑指数很重要。
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