Recurrent Laryngeal Nerve Paralysis during Transvenous Insertion of a Permanent Endocardial Pacemaker
| Autor: | Ytzhak Shvilly, Yuval Zohar, Nora Buller |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Male
Pacemaker Artificial medicine.medical_specialty Cord Catheterization Lesion 03 medical and health sciences 0302 clinical medicine otorhinolaryngologic diseases medicine Recurrent laryngeal nerve Paralysis Humans Vocal cord paralysis 030223 otorhinolaryngology Aged Brachiocephalic Veins business.industry General Medicine medicine.disease Surgery Otorhinolaryngology 030220 oncology & carcinogenesis Anesthesia Acute Disease Nerve lesion medicine.symptom business Complication Vocal Cord Paralysis Subclavian vein |
| Zdroj: | Annals of Otology, Rhinology & Laryngology. 102:810-813 |
| ISSN: | 1943-572X 0003-4894 |
| DOI: | 10.1177/000348949310201014 |
| Popis: | We present 2 patients with sudden onset of dysphonia due to acute unilateral vocal cord paralysis that occurred during transvenous insertion of a permanent endocardial pacemaker. Acute paralysis of the vocal cord due to this kind of medical intervention is a very unusual complication that has been rarely reported. We believe that traumatic insertion of a pacemaker through the subclavian vein triggered a dynamic process that led to vocal cord paralysis. Three hypothetic explanations are presented: 1) a direct vagus nerve lesion, 2) a direct inferior laryngeal nerve lesion, and 3) a central nervous system lesion caused by a cerebral microembolus. Physicians should be aware of the possibility that associated acute paralysis of the vocal cord may occur after transvenous insertion of an endocardial pacemaker. |
| Databáze: | OpenAIRE |
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