Vocal Cord Paralysis (Recurrent Paresis): Or something else? Differential Diagnosis

General

Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99)

  • Voice disorders, unspecified

Arthrogenic paralysis – paralysis originating from the joint

Respiratory system (J00-J99)

  • Long-standing recurrent paresis

Musculoskeletal system and connective tissue (M00-M99).

  • Chronic polyarthritis

More

  • After long-term intubation
  • After radiatio (radiotherapy)

Myogenic paralysis – due to damage to the muscles of the larynx

Respiratory system (J00-J99)

  • Acute/chronic laryngitis (inflammation of the larynx) leads to internosal weakness [the vocal folds can no longer close adequately when speaking → the voice sounds permanently hoarse]

Infectious and parasitic diseases (A00-B99).

  • Diphtheria (true croup)
  • Trichinosis – disease caused by infestation of trichinae (threadworms).

More

  • Old man voice
  • Voice of very weakened people

Nuclear lesions/central paralysis – damage to the central nervous system

Cardiovascular system (I00-I99).

  • Circulatory disturbances in the central nervous system, especially the inferior posterior cerebellar artery (inferior posterior cerebellar artery)

Psyche – nervous system (F00-F99; G00-G99).

  • Bulbar paralysis – disorder in which there is failure of motor cranial nerve nuclei.
  • Wallenberg syndrome (synonyms: Brainstem syndrome, dorsolateral medulla-oblongatat syndrome or arteria-cerebellaris-inferior-posterior syndrome; English PICA syndrome) – special form of apoplexy (stroke).

Neurogenic paralysis – damage to the laryngeal nerve

Psyche – nervous system (F00-F99; G00-G99).

  • Superior laryngeal nerve lesion.
  • Inferior laryngeal nerve lesion