Neoplastic Meningitis Presenting With Dysphagia and Bilateral Vocal Cord Paralysis

作者：Dixon Peter R^*; Alsaffar Hussain; Symons Sean P; Enepekides Danny; Higgins Kevin M

来源：Laryngoscope, 2014, 124(8): 1912-1914.

DOI：10.1002/lary.24640

• Vocal cord paralysis
• meningeal neoplasms
• cranial nerve neoplasms

Neoplastic meningitis is the infiltration of the leptomeninges and subarachnoid space by tumor cells occurring in 3% to 5% of patients with systemic malignancies. Most cases present with multifocal neurological symptoms that vary according to the central nervous system territory involved. Here, we describe the first reported case to our knowledge of neoplastic meningitis causing bilateral vocal cord paralysis. Early diagnosis of this progressive disease process is essential to achieving a better treatment response and improved survival. This report demonstrates that neoplastic meningitis should be considered in the investigation of bilateral vocal cord paralysis, particularly in patients with a history of metastatic disease.

• 出版日期2014-8