Sarcoidosis Presenting as Bilateral Vocal Cord Paralysis due to Bilateral Vagal Nerve Involvement

We herein report a rare case of sarcoidosis presenting as bilateral vocal cord paralysis due to bilateral vagal nerve involvement. A 72-year-old woman with uveitis of the left eye complained of hoarseness and aspiration due to bilateral vocal cord paralysis. An endobronchial needle aspiration biopsy...

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Bibliographic Details
Published in:Internal Medicine 2016, Vol.55(9), pp.1229-1233
Main Authors: Yamasue, Mari, Nureki, Shin-ichi, Ushijima, Ryoichi, Mukai, Yutaka, Goto, Akihiko, Kadota, Jun-ichi
Format: Article
Language:English
Subjects:
Aged
Biopsy, Needle
corticosteroid
Diagnosis, Differential
Female
Hoarseness - etiology
Humans
Inflammation - complications
Lymph Nodes - pathology
neurosarcoidosis
sarcoidosis
Sarcoidosis - diagnosis
Sarcoidosis - pathology
vagal nerve
Vagus Nerve - pathology
vocal cord paralysis
Vocal Cord Paralysis - diagnosis
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Summary:We herein report a rare case of sarcoidosis presenting as bilateral vocal cord paralysis due to bilateral vagal nerve involvement. A 72-year-old woman with uveitis of the left eye complained of hoarseness and aspiration due to bilateral vocal cord paralysis. An endobronchial needle aspiration biopsy specimen of the mediastinal lymph nodes showed non-caseating epithelioid cell granuloma. Total protein and cell concentrations in the cerebrospinal fluid were increased. We diagnosed her to have sarcoidosis with bilateral vagal nerve involvement. Corticosteroid therapy improved her symptoms of hoarseness and aspiration. Sarcoidosis should therefore be taken into consideration as a potential cause of bilateral vocal cord paralysis.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.55.5441