Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-27T10:29:28.909Z Has data issue: false hasContentIssue false
  • English
  • Français

Neuralgic amyotrophy associated with temporary vocal fold paralysis: successful treatment by vocal fold augmentation with hyaluronic acid

Published online by Cambridge University Press:  17 March 2015

K Geißler ,
C M Klingner ,
O Guntinas-Lichius  and
T Bitter
K Geißler*
Affiliation:
Department of Otorhinolaryngology, Jena University Hospital, Germany
C M Klingner
Affiliation:
Department of Neurology, Jena University Hospital, Germany
O Guntinas-Lichius
Affiliation:
Department of Otorhinolaryngology, Jena University Hospital, Germany
T Bitter
Affiliation:
Department of Otorhinolaryngology, Jena University Hospital, Germany
*
Address for correspondence: Dr Katharina Geißler, Department of Otorhinolaryngology, University Hospital Jena, Lessingstraße 2, D-07740 Jena, Germany Fax: +49 3641 935 129 E-mail: Katharina.Geissler@med.uni-jena.de
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Neuralgic amyotrophy is a polyneuropathy that classically involves the brachial plexus. This paper reports an unusual clinical manifestation associated with vocal fold paralysis.

Case report:

A 36-year-old male presented with hoarseness and progressive weakness of the right shoulder and upper arm muscles. Laryngoscopy revealed a limited adduction of the right vocal fold.

Results:

Subsequent speech therapy did not improve the symptoms. Therefore, vocal fold augmentation by application of hyaluronic acid in the right vocal fold was performed.

Conclusion:

Vocal fold augmentation with resorbable material seems to be a more effective transient treatment than speech therapy alone for patients with neuralgic amyotrophy and laryngeal involvement.

Keywords

Neuromuscular DiseasesVocal Cord ParalysisDrug Therapy
Type
Online Only Clinical Record
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 4 , April 2015 , e1
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1To, WC, Traquina, DN. Neuralgic amyotrophy presenting with bilateral vocal cord paralysis in a child: a case report. Int J Pediatr Otorhinolaryngol 1999;48:251–4Google Scholar
2Holtbernd, F, Zehnhoff-Dinnesen, AA, Duning, T, Kemmling, A, Ringelstein, EB. An unusual case of neuralgic amyotrophy presenting with bilateral phrenic nerve and vocal cord paresis. Case Rep Neurol 2011;3:69–74Google Scholar
3Parsonage, MJ, Turner, JW. Neuralgic amyotrophy: the shoulder-girdle syndrome. Lancet 1948;1:973–8Google Scholar
4Chen, YM, Hu, GC, Cheng, SJ. Bilateral neuralgic amyotrophy presenting with left vocal cord and phrenic nerve paralysis. J Formos Med Assoc 2007;106:680–4Google Scholar
5Kuhlenbäumer, G, Hannibal, MC, Nelis, E, Schirmacher, A, Verpoorten, N, Meuleman, J et al. Mutations in SEPT9 cause hereditary neuralgic amyotrophy. Nat Genet 2005;37:1044–6Google Scholar
6van Alfen, N. The neuralgic amyotrophy consultation. J Neurol 2007;254:695–704Google Scholar