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Related Experiment Videos

Ortner syndrome as a cause of sudden dysphonia, a little-known etiology

Juan Ramon Y Cajal Calvo1, Jorge Miguel Briceño Revillo1, Laura Perez Abad1

  • 1Hospital Clínico Universitario Lozano Blesa.

Revista De La Facultad De Ciencias Medicas (Cordoba, Argentina)
|June 30, 2026
PubMed
Summary
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Ortner syndrome, or cardiovocal syndrome, involves left recurrent laryngeal nerve paralysis due to cardiovascular conditions like left atrial enlargement. Early diagnosis and multidisciplinary management are crucial for vocal cord function recovery.

Area of Science:

  • Cardiology
  • Neurology
  • Otorhinolaryngology

Background:

  • Ortner syndrome, also known as cardiovocal syndrome, presents as left recurrent laryngeal nerve paralysis.
  • Historically linked to left atrial enlargement from rheumatic mitral valve disease, it can stem from various cardiovascular pathologies.

Purpose of the Study:

  • To highlight the importance of considering cardiac etiology in patients presenting with hoarseness.
  • To emphasize the diagnostic and therapeutic implications of Ortner syndrome.

Main Methods:

  • A clinical case of a 77-year-old woman with heart failure and sudden dysphonia is presented.
  • Diagnostic imaging revealed pericardial effusion and severe cardiomegaly with an aneurysmal left atrium.
  • Pericardiocentesis improved heart failure symptoms, but residual dysphonia persisted.
Keywords:
disfoniaaneurismaparalisia das pregas vocaisrouquidão

Related Experiment Videos

Main Results:

  • The case illustrates the link between cardiovascular abnormalities and vocal cord dysfunction.
  • While heart failure symptoms resolved, persistent dysphonia underscores the complexity of the syndrome.

Conclusions:

  • Cardiac causes, such as Ortner syndrome, should be considered in the differential diagnosis of dysphonia.
  • Despite its low prevalence, prompt diagnosis and multidisciplinary management are essential for restoring vocal cord function.