Phrenic Nerve Palsy as Initial Presentation of Large Retrosternal Goitre.
Identifieur interne : 001729 ( Main/Exploration ); précédent : 001728; suivant : 001730Phrenic Nerve Palsy as Initial Presentation of Large Retrosternal Goitre.
Auteurs : Arsheed Hussain Hakeem ; Imtiyaz Hussain Hakeem [États-Unis] ; Fozia Jeelani WaniSource :
- Indian journal of surgical oncology [ 0975-7651 ] ; 2016.
Abstract
Unilateral phrenic nerve palsy as initial presentation of the retrosternal goitre is extremely rare event. This is a case report of a 57-year-old woman with history of cough and breathlessness of 3 months duration, unaware of the thyroid mass. She had large cervico-mediastinal goiter and chest radiograph revealed raised left sided hemidiaphragm. Chest CT scan did not reveal any lung parenchymal or mediastinal pathology. The patient underwent a total thyroidectomy through a cervical approach. The final pathology was in favor of multinodular goitre. Even after 1 year of follow up, phrenic nerve palsy did not improve indicating permanent damage. Phrenic nerve palsy as initial presentation of the retrosternal goitre is unusual event. This case is reported not only because of the rare nature of presentation, but also to make clinicians aware of the entity so that early intervention may prevent attendant morbidity.
DOI: 10.1007/s13193-016-0540-2
PubMed: 27872536
PubMed Central: PMC5097767
Affiliations:
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This is a case report of a 57-year-old woman with history of cough and breathlessness of 3 months duration, unaware of the thyroid mass. She had large cervico-mediastinal goiter and chest radiograph revealed raised left sided hemidiaphragm. Chest CT scan did not reveal any lung parenchymal or mediastinal pathology. The patient underwent a total thyroidectomy through a cervical approach. The final pathology was in favor of multinodular goitre. Even after 1 year of follow up, phrenic nerve palsy did not improve indicating permanent damage. Phrenic nerve palsy as initial presentation of the retrosternal goitre is unusual event. This case is reported not only because of the rare nature of presentation, but also to make clinicians aware of the entity so that early intervention may prevent attendant morbidity.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">27872536</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0975-7651</ISSN><JournalIssue CitedMedium="Print"><Volume>7</Volume><Issue>4</Issue><PubDate><Year>2016</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Indian journal of surgical oncology</Title><ISOAbbreviation>Indian J Surg Oncol</ISOAbbreviation></Journal><ArticleTitle>Phrenic Nerve Palsy as Initial Presentation of Large Retrosternal Goitre.</ArticleTitle><Pagination><MedlinePgn>460-463</MedlinePgn></Pagination><Abstract><AbstractText>Unilateral phrenic nerve palsy as initial presentation of the retrosternal goitre is extremely rare event. This is a case report of a 57-year-old woman with history of cough and breathlessness of 3 months duration, unaware of the thyroid mass. She had large cervico-mediastinal goiter and chest radiograph revealed raised left sided hemidiaphragm. Chest CT scan did not reveal any lung parenchymal or mediastinal pathology. The patient underwent a total thyroidectomy through a cervical approach. The final pathology was in favor of multinodular goitre. Even after 1 year of follow up, phrenic nerve palsy did not improve indicating permanent damage. Phrenic nerve palsy as initial presentation of the retrosternal goitre is unusual event. This case is reported not only because of the rare nature of presentation, but also to make clinicians aware of the entity so that early intervention may prevent attendant morbidity.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hakeem</LastName><ForeName>Arsheed Hussain</ForeName><Initials>AH</Initials><AffiliationInfo><Affiliation>Department of head and neck Oncology, Apollo cancer Hospitals, Jubilee Hills, Hyderabad, Telangana India 500096.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hakeem</LastName><ForeName>Imtiyaz Hussain</ForeName><Initials>IH</Initials><AffiliationInfo><Affiliation>Department of Internal Medicine, Poplar Bluff regional medical Center, Poplar Bluff, MO USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wani</LastName><ForeName>Fozia Jeelani</ForeName><Initials>FJ</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and gynaecology, Apollo Hospital, Jubilee Hills, Hyderabad, Telangana India 500096.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>07</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>Indian J Surg Oncol</MedlineTA><NlmUniqueID>101532448</NlmUniqueID><ISSNLinking>0975-7651</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Complications</Keyword><Keyword MajorTopicYN="N">Phrenic nerve palsy</Keyword><Keyword MajorTopicYN="N">Raised hemi diaphragm</Keyword><Keyword MajorTopicYN="N">Retrosternal goitre</Keyword><Keyword MajorTopicYN="N">Thyroidectomy</Keyword></KeywordList><CoiStatement>Compliance with Ethical Standards Competing interests The authors declare that they have no competing interests. Financial Support None. Consent The informed consent was obtained from the patient for the publication of this report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>09</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>06</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>11</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>11</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>11</Month><Day>23</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27872536</ArticleId><ArticleId IdType="doi">10.1007/s13193-016-0540-2</ArticleId><ArticleId IdType="pii">540</ArticleId><ArticleId IdType="pmc">PMC5097767</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Postgrad Med J. 1998 Nov;74(877):701-2</Citation><ArticleIdList><ArticleId IdType="pubmed">10197209</ArticleId></ArticleIdList></Reference><Reference><Citation>Neth J Med. 1996 Jun;48(6):216-9</Citation><ArticleIdList><ArticleId IdType="pubmed">8710041</ArticleId></ArticleIdList></Reference><Reference><Citation>G Chir. 2007 Apr;28(4):149-52</Citation><ArticleIdList><ArticleId IdType="pubmed">17475117</ArticleId></ArticleIdList></Reference><Reference><Citation>Acta Chir Scand. 1989 Aug;155(8):429-31</Citation><ArticleIdList><ArticleId IdType="pubmed">2596252</ArticleId></ArticleIdList></Reference><Reference><Citation>Acta Otorhinolaryngol Belg. 1988;42(4):564-70</Citation><ArticleIdList><ArticleId IdType="pubmed">3218504</ArticleId></ArticleIdList></Reference><Reference><Citation>J Chir (Paris). 1997 Dec;134(7-8):311-3</Citation><ArticleIdList><ArticleId IdType="pubmed">9772996</ArticleId></ArticleIdList></Reference><Reference><Citation>Eur Arch Otorhinolaryngol. 1991;248(3):132-4</Citation><ArticleIdList><ArticleId IdType="pubmed">2029390</ArticleId></ArticleIdList></Reference><Reference><Citation>J R Coll Surg Edinb. 2001 Jun;46(3):186-8</Citation><ArticleIdList><ArticleId IdType="pubmed">11478021</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Missouri (État)</li></region></list><tree><noCountry><name sortKey="Hakeem, Arsheed Hussain" sort="Hakeem, Arsheed Hussain" uniqKey="Hakeem A" first="Arsheed Hussain" last="Hakeem">Arsheed Hussain Hakeem</name><name sortKey="Wani, Fozia Jeelani" sort="Wani, Fozia Jeelani" uniqKey="Wani F" first="Fozia Jeelani" last="Wani">Fozia Jeelani Wani</name></noCountry><country name="États-Unis"><region name="Missouri (État)"><name sortKey="Hakeem, Imtiyaz Hussain" sort="Hakeem, Imtiyaz Hussain" uniqKey="Hakeem I" first="Imtiyaz Hussain" last="Hakeem">Imtiyaz Hussain Hakeem</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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