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Brachial plexus neuropathy resulting from a massively enlarged papillary thyroid carcinoma

✍ Scribed by Jonathan D. Lipana; Marita S. Teng


Book ID
102449025
Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
90 KB
Volume
119
Category
Article
ISSN
0023-852X

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✦ Synopsis


Abstract

Well‐known complications of thyroid enlargement and papillary carcinoma include compression or invasion of the trachea, esophagus, and/or vascular structures. Recurrent laryngeal nerve invasion by thyroid carcinoma is not uncommon, and phrenic nerve invasion has also been described. Preoperative dysfunction of a vocal cord, which often implies invasive carcinoma, may necessitate recurrent laryngeal nerve sacrifice and is therefore rreversible. We present an unusual case of reversible brachial plexus compression in a patient with massive thyroid enlargement and papillary carcinoma. Laryngoscope, 2009