Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-28T05:21:30.507Z Has data issue: false hasContentIssue false

Complete recovery of an isolated left vocal fold palsy associated with a benign mediastinal thymic cyst

Published online by Cambridge University Press:  10 January 2008

S L Woolley*
Affiliation:
Emergency Department, Bristol Royal Infirmary, Cardiff, Wales, UK
A Espeso
Affiliation:
Otolaryngology Department, University Hospital of Wales, Cardiff, Wales, UK
D R K Smith
Affiliation:
Otolaryngology Department, University Hospital of Wales, Cardiff, Wales, UK
*
Address for correspondence: Dr Sarah L Woolley, Emergency Medicine Consultant, Emergency Department, Bristol Royal Infirmary, Upper Maudlin Street, Bristol BS2 8BJ, UK. Fax: +44 117 928 2713 E-mail: [email protected]

Abstract

Objectives:

To present a case of benign mediastinal thymic cyst, and to review the published information on these cysts, including their incidence, presentation, diagnosis and management.

Methods:

We report the case of a 55-year-old man who presented with a unilateral vocal fold palsy subsequently found to be due to the presence of a benign mediastinal thymic cyst. A literature search was undertaken to identify the incidence, key features and management of this rare condition.

Results:

Benign mediastinal thymic cysts are a rare cause of mediastinal masses. Usually diagnosed incidentally, their management is usually surgical. Vocal fold palsy in isolation has not previously been reported in association with mediastinal thymic cysts.

Conclusion:

This report describes what we believe to be the first published case of a completely reversible vocal fold palsy presenting in association with a rare benign mediastinal thymic cyst.

Type
Online Only Clinical Records
Copyright
Copyright © JLO (1984) Limited 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Crumley, RL. Laryngeal synkinesis revisited. Ann Otol Rhinol Laryngol 2000;109:365–71CrossRefGoogle ScholarPubMed
2 Barat, M, Sciubba, JJ, Abramson, AL. Cervical thymic cyst: case report and review of literature. Laryngoscope 1985;95:8991CrossRefGoogle ScholarPubMed
3 Lyons, TJ, Dickson, JAS, Variend, S. Cervical thymic cysts. J Pediatr Surg 1989;24:241–3CrossRefGoogle ScholarPubMed
4 Marra, S, Hotaling, AJ, Raslan, W. Cervical thymic cyst. Otolaryngol Head Neck Surg 1995;112:338–40CrossRefGoogle ScholarPubMed
5 Kelley, DJ, Gerber, ME, Willging, JP. Cervicomediastinal thymic cysts. Int J Pediatr Otorhinolaryngol 1997;39:139–46CrossRefGoogle ScholarPubMed
6 Millman, B, Pransky, S, Castillo, J, Zipfel, TE, Wood, WE. Cervical thymic anomalies. Int J Pediatr Otolaryngol 1999;47:2939CrossRefGoogle ScholarPubMed
7 Wychulis, AR, Payne, WS, Clagett, OT, Woolner, LB. Surgical treatment of mediastinal tumors: a 40 year experience. J Thorac Cardiovasc Surg 1971;62:379–92CrossRefGoogle ScholarPubMed
8 Bieger, RC, McAdams, AJ. Thymic cysts. Arch Pathol 1966;82:535–41Google ScholarPubMed
9 Takeda, S, Miyoshi, S, Minami, M, Ohta, M, Masaoka, A, Matsuda, H. Clinical spectrum of mediastinal cysts. Chest 2003;124:125–32CrossRefGoogle ScholarPubMed
10 Sirivella, S, Gielchinsky, I, Parsonnet, V. Mediastinal thymic cysts: a report of three cases. J Thorac Cardiovasc Surg 1995;110:1771–2CrossRefGoogle ScholarPubMed
11 Suster, S, Rosai, J. Multilocular thymic cyst: an acquired reactive process; study of 18 cases. Am J Surg Pathol 1991;15:388–98CrossRefGoogle ScholarPubMed
12 Speer, FD. Thymic cysts. N Y Medical College Flower Hospital Bulletin 1938;1:142–50Google Scholar
13 Graeber, GM, Colonel, L, Thompson, LD, Cohen, DJ, Ronnigen, LD, Jaffin, J et al. Cystic lesion of the thymus: an occasionally malignant cervical and/or mediastinal mass. J Thorac Cardiovasc Surg 1984;87:295300CrossRefGoogle ScholarPubMed
14 Anonymous. Case records of the Massachusetts General Hospital: case 34 – 1977. NEJM 1977;297:436–42Google Scholar
15 Fraile, G, Rodrigue-Garcia, JL. Thymic cyst presenting as Horner's syndrome. Chest 1992;101:1170–1CrossRefGoogle ScholarPubMed
16 Bailey, LL, Hilde, RL, Smith, TR, Thompson, RJ. Cervico-mediastinal thymic cyst with vocal cord paralysis. Cancer 1977;39:347–93.0.CO;2-S>CrossRefGoogle ScholarPubMed
17 Shin, CS, Levowitz, BS. Cervicomediastinal thymic cyst. N Y State J Med 1973;73:2695–8Google ScholarPubMed
18 Urschel, JD, Horan, TA. Mediastinoscopic treatment of mediastinal cysts. Ann Thorac Surg 1994;58:1698–701CrossRefGoogle ScholarPubMed