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  Vocal Cord Paralysis in Multifocal Motor Neuropathy: A Case Report [Turk J Neurol]
Turk J Neurol. 2012; 18(3): 114-117 | DOI: 10.4274/Tnd.36459  

Vocal Cord Paralysis in Multifocal Motor Neuropathy: A Case Report

Hatice Balaban1, Özlem Kayım-yıldız1, İlteriş Ahmet Şentürk2, Emine Elif Altuntaş2, İsmail Önder Uysal2, Ertuğrul Bolayır1, Suat Topaktaş1
1Cumhuriyet University,faculty Of Medicine, Neurology Department
2Cumhuriyet Üniversitesi, Tıp Fakültesi, Otorhinolarynology Department

Multifocal motor neuropathy is characterized by slowly progressive, asymmetrical weakness of the arms without sensory loss. The disease can also cause vocal cord paralysis as it runs its course. A 34-year-old man developed progressive weakness in his hand muscles for one year and dysphonia for three weeks. Neurological examination revealed there was moderate weakness and mild muscle wasting in distal muscles of the upper limbs, predominantly in the left hand. Left laryngeal nerve palsy was also discovered during his otolaryngological examination. Nerve conduction studies revealed multiple sites of conduction block without sensory abnormalities consisting of selective involvement of motor fibers. The patient received intravenous immunoglobulin treatment after multifocal motor neuropathy diagnosis. Multifocal motor neuropathy with conduction block is rarely associated with vocal cord paralysis. This condition should be kept in mind in cases of laryngeal nerve palsy with an asymmetric motor neuropathy, as patients might benefit from immunoglobulin treatment.

Keywords: Multifocal motor neuropathy, vocal cord paralysis.

Hatice Balaban, Özlem Kayım-yıldız, İlteriş Ahmet Şentürk, Emine Elif Altuntaş, İsmail Önder Uysal, Ertuğrul Bolayır, Suat Topaktaş. Vocal Cord Paralysis in Multifocal Motor Neuropathy: A Case Report. Turk J Neurol. 2012; 18(3): 114-117

Corresponding Author: Hatice Balaban, Türkiye

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