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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: sarah.woolley@ubht.nhs.uk

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

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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