A case of silent myasthenia gravis with bilateral vocal cord paralysis' onset after thyroidectomy.

ABSTRACT:

Introduction and importance

Vocal cord paralysis is one of the most fearsome complications following thyroidectomy surgery. It can be unilateral or bilateral and in this case it could cause a life threatening respiratory distress which requires an emergency tracheostomy (1). Literature demonstrates a spontaneous recovery of vocal cord motility is possible in 79-87,5 % of the patients. Huge multinodular goiter that overturn the normal anatomy or an excessive bleeding that obscure the surgical field can make the intraoperative identification on both laryngeal nerves difficult. The tumoral invasion of the nerves following thyroid carcinoma could be a factor as well. For this reason the intra-operative nerve monitoring (IONM) is a great resource in this type of surgery.

Case present

SUBMITTER: Donniacuo A 

PROVIDER: S-EPMC12281450 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature