Bilateral vocal cord paralysis with acute ischemic stroke

Vocal cords receive nerve supply from recurrent laryngeal nerve which is a branch of the vagus nerve. Cerebral motor cortex projects corticobulbar tracts to the motor nucleus (nucleus ambiguous) of the vagus found in medulla. Vagus nerve leaves the skull through jugular foramen and travels through the carotid sheath. The left vagus gives rise to left recurrent laryngeal nerve at the aortic arch, whereas the right vagus gives rise to right recurrent laryngeal nerve at the subclavian artery. Any disruption of this pathway by any entity will cause unilateral vocal cord paralysis. Strokes that affect the motor cortex do not cause unilateral vocal cord paralysis since vagus nerve nucleus receives corticobulbar tract from both sides of the brain. We present an unusual case of bilateral vocal cord paralysis caused by unilateral right insular stroke which is not related to this pathway.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Bilateral vocal cord paralysis with acute ischemic stroke ; volume:08 ; number:02 ; year:2016 ; pages:52-53
Ibnosina journal of medicine and biomedical sciences ; 08, Heft 02 (2016), 52-53

Contributor
Nasrat, Taofik
Jouni, Ali
Aresene, Camelia
Norris, Gregory

DOI
10.4103/1947-489X.210215
URN
urn:nbn:de:101:1-2022101003122859480528
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:21 AM CEST

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Associated

  • Nasrat, Taofik
  • Jouni, Ali
  • Aresene, Camelia
  • Norris, Gregory

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