Reversible Ortner’s Syndrome as a Presenting Feature of Thyrotoxicosis in an Adolescent: A Rare Case Report

Abstract

Ortner’s or cardiovocal syndrome is hoarseness attributable to left recurrent laryngeal nerve (RLN) palsy associated with mechanical compression of the nerve by pathologically enlarged cardiovascular structures. Ortner’s syndrome is a rare condition, and to our knowledge, only a few cases have been reported in Korea. Furthermore, this condition is extremely uncommon in pediatric patients with thyrotoxicosis-related RLN paralysis. We report a case of reversible Ortner’s syndrome in an adolescent who presented with secondary pulmonary hypertension related to thyrotoxicosis.

Keywords

• thyrotoxicosis
• pulmonary hypertension
• vocal cord paralysis