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Bilateral Vocal Cord Palsy as the Only Symptom of Thymoma Associated-Myasthenia Gravis
Despoina Beka1, Chrysoula Marogianni2, Styliani Ralli2
1Department of Otorhinolaryngology, General Hospital Asklepieion of Voula, Greece.
Abstract:
Bilateral vocal cord paresis is a rare phenomenon caused by different underlying etiologies. Myasthenia gravis is included in this long differential diagnosis. Usually, it happens as part of a serious clinical state of a patient, that also suffers from generalized muscle weakness, diplopia, dysphagia, eyelid ptosis. In our case, a 58-year-old woman presented in the emergency room with solely dyspnea, caused by bilateral cord palsy, and that appeared to be the only symptom of thymoma associated-myasthenia gravis. Another interesting fact about this case is the quick recovery and no need for tracheostomy and intubation in the first hours of her admission to hospital.
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