Diaphragm paralysis from cervical disc lesions

Area of Science:

• Neurology
• Otolaryngology
• Vocal Performance Science

Background:

• Cervical disc lesions can cause significant neurological deficits.
• Radiculopathy from cervical disc disease can affect various bodily functions.
• Vocal performance relies heavily on respiratory muscle control, particularly the diaphragm.

Observation:

• A professional opera singer developed unilateral radiculopathy affecting her left diaphragm.
• This condition resulted in severe neck and arm pain, and a gradual loss of vocal ability.
• The singer's career was significantly impacted, preventing her from performing difficult operatic passages.

Findings:

• Surgical intervention, specifically a three-level anterior cervical decompression and fusion, provided immediate relief from neck and arm pain.
• Postoperatively, the singer's voice and vocal strength returned to full capacity within one week.
• The case implies a diagnosis of left hemi-diaphragm paresis as a component of the cervical disc syndrome.

Implications:

• Cervical disc disease can have profound and unexpected impacts on vocal function.
• Surgical treatment for cervical radiculopathy may restore not only neurological function but also specialized skills like singing.
• This case highlights the intricate connection between the cervical spine, respiratory function, and vocal performance.