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Parathyroid Adenoma as a Cause of Vocal Fold Paralysis
Jih-Chin Lee, MD;
Gregory C. Barkdull, MD;
Robert A. Weisman, MD
Arch Otolaryngol Head Neck Surg. 2009;135(7):712-713.
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INTRODUCTION
Parathyroid adenomas (PAs) are the most common cause of primary hyperparathyroidism. Presentations can range from the classic bone pain, depression, fatigue, renal calculi, and gastrointestinal tract symptoms to asymptomatic calcium level elevation detected on a serum chemistry panel. They are benign tumors that are not generally thought to cause recurrent laryngeal nerve paralysis.
REPORT OF A CASE
A 71-year-old man noted the onset of hoarseness in May of 2006, approximately 1 month prior to presentation to an otolaryngologist. He was bothered by vocal fatigue and reported difficulty swallowing liquids but not solids. His medical history included hypertension and degenerative disk disease. On physical examination, the patient was noted to have weak vocal quality. Flexible laryngoscopy revealed right vocal fold paralysis. The consulting physician ordered magnetic resonance imaging (MRI) of the neck, which revealed a 2.0 x 2.5-cm mass in the right tracheoesophageal groove . . . [Full Text of this Article]
COMMENT
AUTHOR INFORMATION
Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, National Defense Medical Center, Tri-Service General Hospital, Taipei, Taiwan, China (Dr Lee); and Division of Otolaryngology–Head and Neck Surgery, Moores University of California San Diego Cancer Center (Drs Barkdull and Weisman), San Diego.
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