J Korean Soc Radiol.  2023 Sep;84(5):1158-1162. 10.3348/jksr.2022.0135.

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

Affiliations
  • 1Departments of Radiology, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Korea
  • 2Departments of Otorhinolaryngology-Head and Neck Surgery, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Korea

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.

Keyword

Thyrotoxicosis; Pulmonary Hypertension; Vocal Cord Paralysis
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