An uncommon case of dyspnea with unilateral laryngeal paralysis in acromegaly. Issue 1 (February 2016)

• Record Type: Journal Article
• Authors: Lerat, Justine; Lacoste, Marie; Prechoux, Jean-Marc; Aubry, Karine; Nadalon, Sylvie; Ly, Kim Heang; Bessede, Jean-Pierre
• Is Part Of: Auris nasus larynx. Volume 43:Issue 1(2016)
• Page Start: 105
• Page End: 107
• Publication Date: 2016-02
• Subjects: Vocal cord paralysis -- Dyspnea -- Acromegaly -- Obstructive sleep apnea syndrome; Otolaryngology -- Periodicals; Electronic journals; 616
• DOI: 10.1016/j.anl.2015.06.001
• Languages: English
• ISSNs: 0385-8146

Abstract

Abstract: A 61-year-old man with obstructive sleep apnea syndrome and normal BMI complained of dyspnea. Nasofibroscopy revealed a global and major oedema of the glottis and supraglottis and also a paralysis of the left vocal fold. CT-scan pointed out a spontaneous hyperdensity of the left arytenoid cartilage. A tracheostomy was performed. Clinical examination revealed large hands and macroglossy with high IGF1 rate. MRI confirmed a supracentimetric pituitary adenoma. To our knowledge, this is the first description of a case of acute respiratory distress due to unilateral larynx paralysis leading to acromegaly diagnosis. This is due to submucosal hypertrophy and vocal cord immobility.