Dizziness and Vocal Fold Paralysis due to Vertebrobasilar Ischemia.

C Lima Neto, Arlindo; S M Bittar, Roseli; Kim, Ji-Soo · Laryngoscope · 2025

case_report · Level V

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Abstract

Vertebrobasilar transient ischemic attacks (VBTIAs) may present with dizziness. Vocal fold paralysis is rarely associated. We describe an 80-year-old woman with recurrent VBTIAs and new-onset left vocal fold paralysis during an episode. The co-occurrence of medullary ischemia and an aortic arch aneurysm illustrates two plausible mechanisms of unilateral vocal fold paralysis.

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