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Bilateral vocal cord paralysis caused by cervical spinal osteophytes

K Aydin, MD 1 T Ulug, MD 2 and T Simsek, MD 1

Departments of 1 Radiology and 2 ENT, Istanbul University Medical School Capa Hospital, Capa, Istanbul, Turkey



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Figure 1. Axial T1 weighted image (repetition time 570ms, echo time 15ms, excitation 3) at the level of vocal cords reveals the paramedian location of vocal cords and severe obstruction of airway. Note the osteophyte (arrow) compressing on the post-cricoid area.

 


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Figure 2. (a) Sagittal reconstructed CT image of cervical spine demonstrates the osteophytes originating from the anterior of vertebral bodies. Bridging osteophytes form a bony bar in the anterior prevertebral space (arrow heads). (b) Sagittal T2 weighted image (repetition time 4000ms, echo time 112ms, excitation 3) shows the cervical spinal osteophytes compressing on the posterior wall of the larynx. Intervertebral discs show degenerative changes.

 


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Figure 3. (a) Axial CT image shows the close relation of cervical osteophyte (open arrows) with inferior cornu of thyroid cartilage (arrows). It demonstrates the severe narrowing of the pathway of recurrent laryngeal nerves, just behind the inferior cornu of thyroid cartilage (curved arrow). (b) Axial T1 weighted image demonstrates cervical osteophyte compressing the post-cricoid larynx. Note the severe narrowing of the spaces behind inferior cornu of thyroid cartilage (curved arrow).

 





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