Bilateral Recurrent Laryngeal Nerve Palsy following Total Thyroidectomy in Triple A Syndrome, an Unexpected but Critical Complication

Introduction. Triple “A” syndrome (TAS) is a rare autosomal recessive disorder that presents in childhood with achalasia cardia, alacrima, ACTH-resistant adrenal insufficiency, with sensorimotor and autonomic polyneuropathy developing later in the course of the disease. Case Presentation. An adult w...

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Autores principales:	Mathieu Chamberland, Marc-Antoine Poulin, Danielle Beaudoin
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Otorhinolaryngology RF1-547
Acceso en línea:	https://doaj.org/article/7bd1e22ab22440a790c9e9d717f4fdf9
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spelling	oai:doaj.org-article:7bd1e22ab22440a790c9e9d717f4fdf92021-11-29T00:55:40ZBilateral Recurrent Laryngeal Nerve Palsy following Total Thyroidectomy in Triple A Syndrome, an Unexpected but Critical Complication2090-677310.1155/2021/1315117https://doaj.org/article/7bd1e22ab22440a790c9e9d717f4fdf92021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/1315117https://doaj.org/toc/2090-6773Introduction. Triple “A” syndrome (TAS) is a rare autosomal recessive disorder that presents in childhood with achalasia cardia, alacrima, ACTH-resistant adrenal insufficiency, with sensorimotor and autonomic polyneuropathy developing later in the course of the disease. Case Presentation. An adult white male affected by this syndrome underwent an uneventful total thyroidectomy for malignancy and suffered delayed bilateral recurrent laryngeal nerve palsy in the early postoperative hours. The palsy spontaneously resolved after a five-week course. Conclusion. Given the rarity of this severe condition and the absence of surgical or medical causes identifiable, there is possibility that it is the neurological involvement caused by TAS that predisposed the patient to this adverse outcome, precipitated by standard manipulations during surgery.Mathieu ChamberlandMarc-Antoine PoulinDanielle BeaudoinHindawi LimitedarticleOtorhinolaryngologyRF1-547ENCase Reports in Otolaryngology, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547
spellingShingle	Otorhinolaryngology RF1-547 Mathieu Chamberland Marc-Antoine Poulin Danielle Beaudoin Bilateral Recurrent Laryngeal Nerve Palsy following Total Thyroidectomy in Triple A Syndrome, an Unexpected but Critical Complication
description	Introduction. Triple “A” syndrome (TAS) is a rare autosomal recessive disorder that presents in childhood with achalasia cardia, alacrima, ACTH-resistant adrenal insufficiency, with sensorimotor and autonomic polyneuropathy developing later in the course of the disease. Case Presentation. An adult white male affected by this syndrome underwent an uneventful total thyroidectomy for malignancy and suffered delayed bilateral recurrent laryngeal nerve palsy in the early postoperative hours. The palsy spontaneously resolved after a five-week course. Conclusion. Given the rarity of this severe condition and the absence of surgical or medical causes identifiable, there is possibility that it is the neurological involvement caused by TAS that predisposed the patient to this adverse outcome, precipitated by standard manipulations during surgery.
format	article
author	Mathieu Chamberland Marc-Antoine Poulin Danielle Beaudoin
author_facet	Mathieu Chamberland Marc-Antoine Poulin Danielle Beaudoin
author_sort	Mathieu Chamberland
title	Bilateral Recurrent Laryngeal Nerve Palsy following Total Thyroidectomy in Triple A Syndrome, an Unexpected but Critical Complication
title_short	Bilateral Recurrent Laryngeal Nerve Palsy following Total Thyroidectomy in Triple A Syndrome, an Unexpected but Critical Complication
title_full	Bilateral Recurrent Laryngeal Nerve Palsy following Total Thyroidectomy in Triple A Syndrome, an Unexpected but Critical Complication
title_fullStr	Bilateral Recurrent Laryngeal Nerve Palsy following Total Thyroidectomy in Triple A Syndrome, an Unexpected but Critical Complication
title_full_unstemmed	Bilateral Recurrent Laryngeal Nerve Palsy following Total Thyroidectomy in Triple A Syndrome, an Unexpected but Critical Complication
title_sort	bilateral recurrent laryngeal nerve palsy following total thyroidectomy in triple a syndrome, an unexpected but critical complication
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/7bd1e22ab22440a790c9e9d717f4fdf9
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Bilateral Recurrent Laryngeal Nerve Palsy following Total Thyroidectomy in Triple A Syndrome, an Unexpected but Critical Complication

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