Recurrent Pulmonary Infection Caused by Long-Term Misdiagnosis of Medulla Tumor Manifesting as Unilateral Vo-cal Cord Paralysis
LU Yuan-yuana
ZHANG Qing-xianga
CHE Zi-gangb
CHU Cheng-fengb
YU Zhen-kuna
Abstract：Objective To study atypical clinical features of the medulla tumor manifesting as unilateral vocal cord pa-ralysis for reducing misdiagnosis and mistreatment of the disease. Methods We retrospectively analyzed the therapeutic process of one case of medulla tumor with long-term misdiagnosis for manifesting as unilateral vocal cord paralysis, which led to recurrent pulmonary infection. Results The patient experienced 28-year history of hoarseness of voice, along with cough, recurrent pulmonary infection and 7-year pulmonary abscess. The patient was treated as right-side recurrent laryngeal nerve pa-ralysis and pulmonary infection in other hospitals, without obvious improvement. Finally, she was admitted to our hospital. After physical and laryngoscope examinations, we fund out symptoms of unilateral multiple cranial nerve involvement. The MRI scanning of skull base found medulla lesion, and we deduced that the clinical manifestation was caused by neural region lesions. Conclusion Clinicians should pay attention to the possibility that unilateral vocal cord paralysis and recurrent pul-monary infection may be caused by skull base tumor.
Keywords：Brain neoplasmsDiagnostic errorsVocal cord paralysisInfectionLung abscess
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 24-26 )