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KMID : 1024720210110010037
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Geriatric Rehabilitation
2021 Volume.11 No. 1 p.37 ~ p.41
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Abrupt Onset of Dysphonia Caused by a Huge Aortic Arch Aneurysm and Feasible Rehabilitation: A Case Report
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Cho Jun-Mo
Kang Si-Hyun
Kim Don-Kyu
Seo Kyung-Mook
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Abstract
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Ortner's syndrome or cardiovocal syndrome refers to vocal cord paralysis caused by compression of the left recurrent laryngeal nerve by cardiovascular disorders. We present the case of an 88-year-old woman who complained of dysphonia after surgery under spinal anesthesia for an open reduction and internal fixation, following an intertrochanteric fracture of the femur. Laryngoscopy revealed left vocal cord immobility in the paramedian position, and a computed tomography scan revealed a 6.5-cm fusiform aneurysm in the aortic arch. Needle electromyography demonstrated abnormal spontaneous activities with reduced recruitment of the left thyroarytenoid muscle. After a month of active inpatient rehabilitation that consisted of balance and gait training with a rolling walker, she could walk using a walker under supervision. Thus, we first suggest a feasible rehabilitation strategy in geriatric patients with Ortner's syndrome confirmed by laryngeal electromyography.
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KEYWORD
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Aortic aneurysm, Dysphonia, Recurrent laryngeal nerve
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