Vocal Cord Palsy as a Complication of Epidural Anaesthesia
Cranial nerve palsy is a rare but recognised complication of epidural anaesthesia, most commonly presenting as diplopia secondary to abducens nerve palsy. While upper cranial nerve palsies have been documented on numerous occasions, lower cranial nerve palsies, including recurrent laryngeal nerve pa...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2018/6543656 |
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| author | Laura Mc Loughlin Orla Young |
| author_facet | Laura Mc Loughlin Orla Young |
| author_sort | Laura Mc Loughlin |
| collection | DOAJ |
| description | Cranial nerve palsy is a rare but recognised complication of epidural anaesthesia, most commonly presenting as diplopia secondary to abducens nerve palsy. While upper cranial nerve palsies have been documented on numerous occasions, lower cranial nerve palsies, including recurrent laryngeal nerve palsy, are exceedingly rare. This case describes a 37-year-old female who, following epidural anaesthesia for spontaneous vaginal delivery of her first child, presented with dysphonia. Flexible laryngoscopy confirmed a left vocal cord palsy, and computed tomography ruled out any mass lesions along the course of the recurrent laryngeal nerve. Here, we discuss a case of vocal cord palsy secondary to epidural anaesthesia, an extremely rare complication. We also discuss the proposed etiology, treatment, and outcomes in patients with this condition. Cranial nerve palsy should be an important differential in patients presenting with dysphonia following spinal or epidural anaesthesia. |
| format | Article |
| id | doaj-art-111e58b7d7dd4cd89e11cc946af960b1 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-111e58b7d7dd4cd89e11cc946af960b12025-08-20T03:55:45ZengWileyCase Reports in Otolaryngology2090-67652090-67732018-01-01201810.1155/2018/65436566543656Vocal Cord Palsy as a Complication of Epidural AnaesthesiaLaura Mc Loughlin0Orla Young1Department of Otorhinolaryngology Head & Neck Surgery, Galway University Hospital, Galway, IrelandDepartment of Otorhinolaryngology Head & Neck Surgery, Galway University Hospital, Galway, IrelandCranial nerve palsy is a rare but recognised complication of epidural anaesthesia, most commonly presenting as diplopia secondary to abducens nerve palsy. While upper cranial nerve palsies have been documented on numerous occasions, lower cranial nerve palsies, including recurrent laryngeal nerve palsy, are exceedingly rare. This case describes a 37-year-old female who, following epidural anaesthesia for spontaneous vaginal delivery of her first child, presented with dysphonia. Flexible laryngoscopy confirmed a left vocal cord palsy, and computed tomography ruled out any mass lesions along the course of the recurrent laryngeal nerve. Here, we discuss a case of vocal cord palsy secondary to epidural anaesthesia, an extremely rare complication. We also discuss the proposed etiology, treatment, and outcomes in patients with this condition. Cranial nerve palsy should be an important differential in patients presenting with dysphonia following spinal or epidural anaesthesia.http://dx.doi.org/10.1155/2018/6543656 |
| spellingShingle | Laura Mc Loughlin Orla Young Vocal Cord Palsy as a Complication of Epidural Anaesthesia Case Reports in Otolaryngology |
| title | Vocal Cord Palsy as a Complication of Epidural Anaesthesia |
| title_full | Vocal Cord Palsy as a Complication of Epidural Anaesthesia |
| title_fullStr | Vocal Cord Palsy as a Complication of Epidural Anaesthesia |
| title_full_unstemmed | Vocal Cord Palsy as a Complication of Epidural Anaesthesia |
| title_short | Vocal Cord Palsy as a Complication of Epidural Anaesthesia |
| title_sort | vocal cord palsy as a complication of epidural anaesthesia |
| url | http://dx.doi.org/10.1155/2018/6543656 |
| work_keys_str_mv | AT lauramcloughlin vocalcordpalsyasacomplicationofepiduralanaesthesia AT orlayoung vocalcordpalsyasacomplicationofepiduralanaesthesia |