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Ortner's syndrome.

Hameed Aboobackar Shahul1, Mohan K Manu, Aswini Kumar Mohapatra

  • 1Department of Pulmonary Medicine, Kasturba Medical College Manipal, Manipal University, Manipal, Karnataka, India.

BMJ Case Reports
|March 13, 2014
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Summary
This summary is machine-generated.

Ortner's syndrome, characterized by hoarseness from recurrent laryngeal nerve palsy, is rarely caused by an aortic arch aneurysm. This case highlights a rare presentation of cardiovascular abnormality leading to vocal cord dysfunction.

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Area of Science:

  • Cardiology
  • Neurology
  • Otolaryngology

Background:

  • Ortner's syndrome describes hoarseness resulting from recurrent laryngeal nerve palsy due to cardiovascular abnormalities.
  • Aortic aneurysms typically manifest with pain related to their location, such as chest, back, or epigastric pain.

Observation:

  • A 42-year-old male smoker with chronic cough and dyspnea presented with new-onset hoarseness.
  • Physical examination revealed signs suggestive of aortic regurgitation and left vocal cord palsy.
  • CT imaging identified an aneurysm of the aortic arch.

Findings:

  • The patient's hoarseness was attributed to left recurrent laryngeal nerve palsy.
  • The underlying cause was identified as an aortic arch aneurysm, a highly unusual etiology for Ortner's syndrome.

Implications:

  • This case underscores the importance of considering cardiovascular pathology, specifically aortic aneurysms, in the differential diagnosis of hoarseness, even with atypical presentations.
  • It highlights the rare but significant association between aortic arch aneurysms and Ortner's syndrome, emphasizing the need for comprehensive diagnostic evaluation.
  • The findings contribute to the understanding of rare neurological complications stemming from cardiovascular diseases.