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Article
June 3, 1905

A CASE OF PARALYSIS OF THE RECURRENT LARYNGEAL NERVEFROM ANEURISM OF THE ARCH OF THE AORTA.

JAMA. 1905;XLIV(22):1758-1759. doi:10.1001/jama.1905.92500490034002
Abstract

This case is reported in the interest of laryngology, because of the strong and positive light thrown on the diagnosis by an examination of the larynx. This led to the search for the physical signs of an aneurism of the aorta, which had been overlooked and which might not have been discovered for some time. The history of the case rather inclined toward tuberculosis of the lungs, with secondary laryngeal involvement. It was due to the latter complication that the case was referred for laryngeal examination and treatment. The radiograph of the chest was made to aid in confirming the diagnosis.

Patient.  —P. H., 43 years of age, was referred to me two months ago on account of hoarseness. His appearance and voice indicated tuberculosis of the lungs and larynx. The history given at the time was as follows.

History.  Hoarseness was first noticed five or

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