Document Detail

Recurrent laryngeal nerve paralysis during transvenous insertion of a permanent endocardial pacemaker.
MedLine Citation:
PMID:  8215104     Owner:  NLM     Status:  MEDLINE    
We present 2 patients with sudden onset of dysphonia due to acute unilateral vocal cord paralysis that occurred during transvenous insertion of a permanent endocardial pacemaker. Acute paralysis of the vocal cord due to this kind of medical intervention is a very unusual complication that has been rarely reported. We believe that traumatic insertion of a pacemaker through the subclavian vein triggered a dynamic process that led to vocal cord paralysis. Three hypothetic explanations are presented: 1) a direct vagus nerve lesion, 2) a direct inferior laryngeal nerve lesion, and 3) a central nervous system lesion caused by a cerebral microembolus. Physicians should be aware of the possibility that associated acute paralysis of the vocal cord may occur after transvenous insertion of an endocardial pacemaker.
Y Zohar; N Buller; Y Shvilly
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  102     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  1993 Oct 
Date Detail:
Created Date:  1993-11-02     Completed Date:  1993-11-02     Revised Date:  2006-05-15    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  810-3     Citation Subset:  AIM; IM    
Department of Otolaryngology-Head and Neck Surgery, Hasharon Hospital, Golda Medical Center, Petah-Tiqva, Israel.
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MeSH Terms
Acute Disease
Brachiocephalic Veins
Catheterization / adverse effects*
Pacemaker, Artificial / adverse effects*
Vocal Cord Paralysis / etiology*

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