Cargando…

Ortner’s Syndrome-A Rare Cause of Hoarseness: Its Importance to an Otorhinolaryngologist

INTRODUCTION: Cardiovocal hoarseness (Ortner’s syndrome) is hoarseness of voice due to recurrent laryngeal nerve involvement secondary to cardiovascular disease. Recurrent laryngeal nerve in its course (especially the left side) follows a path that brings it in close proximity to numerous structures...

Descripción completa

Detalles Bibliográficos
Autores principales: Sarin, Vanita, Bhardwaj, Bhanu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mashhad University of Medical Sciences 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4881887/
https://www.ncbi.nlm.nih.gov/pubmed/27280105
_version_ 1782434032943890432
author Sarin, Vanita
Bhardwaj, Bhanu
author_facet Sarin, Vanita
Bhardwaj, Bhanu
author_sort Sarin, Vanita
collection PubMed
description INTRODUCTION: Cardiovocal hoarseness (Ortner’s syndrome) is hoarseness of voice due to recurrent laryngeal nerve involvement secondary to cardiovascular disease. Recurrent laryngeal nerve in its course (especially the left side) follows a path that brings it in close proximity to numerous structures. These structures interfere with its function by pressure or by disruption of the nerve caused by disease invading the nerve. However painless asymptomatic intramural hematoma of the aortic arch, causing hoarseness as the only symptom, is a rare presentation as in this case. CASE REPORT: We report a case of silent aortic intramural hematoma which manifested as hoarseness as the only presenting symptom. A detailed history and thorough clinical examination could not reveal the pathology of hoarseness. The cause of hoarseness was diagnosed as aortic intramural hematoma on contrast computed tomography. Thus the patient was diagnosed as case of cardiovocal hoarseness (Ortner’s syndrome) secondary to aortic intramural hematoma. CONCLUSION: A silent aortic intramural hematoma with hoarseness as the only presenting symptom is very rare. This particular case report holds lot of significance to an otolaryngologist as he should be aware of this entity and should always consider it in the differential diagnosis of hoarseness.
format Online
Article
Text
id pubmed-4881887
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Mashhad University of Medical Sciences
record_format MEDLINE/PubMed
spelling pubmed-48818872016-06-08 Ortner’s Syndrome-A Rare Cause of Hoarseness: Its Importance to an Otorhinolaryngologist Sarin, Vanita Bhardwaj, Bhanu Iran J Otorhinolaryngol Case Report INTRODUCTION: Cardiovocal hoarseness (Ortner’s syndrome) is hoarseness of voice due to recurrent laryngeal nerve involvement secondary to cardiovascular disease. Recurrent laryngeal nerve in its course (especially the left side) follows a path that brings it in close proximity to numerous structures. These structures interfere with its function by pressure or by disruption of the nerve caused by disease invading the nerve. However painless asymptomatic intramural hematoma of the aortic arch, causing hoarseness as the only symptom, is a rare presentation as in this case. CASE REPORT: We report a case of silent aortic intramural hematoma which manifested as hoarseness as the only presenting symptom. A detailed history and thorough clinical examination could not reveal the pathology of hoarseness. The cause of hoarseness was diagnosed as aortic intramural hematoma on contrast computed tomography. Thus the patient was diagnosed as case of cardiovocal hoarseness (Ortner’s syndrome) secondary to aortic intramural hematoma. CONCLUSION: A silent aortic intramural hematoma with hoarseness as the only presenting symptom is very rare. This particular case report holds lot of significance to an otolaryngologist as he should be aware of this entity and should always consider it in the differential diagnosis of hoarseness. Mashhad University of Medical Sciences 2016-03 /pmc/articles/PMC4881887/ /pubmed/27280105 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sarin, Vanita
Bhardwaj, Bhanu
Ortner’s Syndrome-A Rare Cause of Hoarseness: Its Importance to an Otorhinolaryngologist
title Ortner’s Syndrome-A Rare Cause of Hoarseness: Its Importance to an Otorhinolaryngologist
title_full Ortner’s Syndrome-A Rare Cause of Hoarseness: Its Importance to an Otorhinolaryngologist
title_fullStr Ortner’s Syndrome-A Rare Cause of Hoarseness: Its Importance to an Otorhinolaryngologist
title_full_unstemmed Ortner’s Syndrome-A Rare Cause of Hoarseness: Its Importance to an Otorhinolaryngologist
title_short Ortner’s Syndrome-A Rare Cause of Hoarseness: Its Importance to an Otorhinolaryngologist
title_sort ortner’s syndrome-a rare cause of hoarseness: its importance to an otorhinolaryngologist
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4881887/
https://www.ncbi.nlm.nih.gov/pubmed/27280105
work_keys_str_mv AT sarinvanita ortnerssyndromeararecauseofhoarsenessitsimportancetoanotorhinolaryngologist
AT bhardwajbhanu ortnerssyndromeararecauseofhoarsenessitsimportancetoanotorhinolaryngologist