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Open Access Highly Accessed Case report

Aphonia induced by simultaneous bilateral ischemic infarctions of the putamen nuclei: a case report and review of the literature

Vladimir V Senatorov1, Shirish Satpute1, Katherine Perry2, David M Kaylie3 and John W Cole1*

Author Affiliations

1 Department of Neurology, Baltimore Veterans Affairs Medical Center and University of Maryland School of Medicine, Baltimore, MD 21201, USA

2 Department of Otolaryngology, Baltimore Veterans Affairs Medical Center and University of Maryland School of Medicine, Baltimore, MD, 21201, USA

3 Department of Surgery, Division of Otolaryngology, Duke University School of Medicine, Durham, NC, 27710, USA

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Journal of Medical Case Reports 2013, 7:83  doi:10.1186/1752-1947-7-83

Published: 19 March 2013

Abstract

Introduction

Isolated aphonia induced by acute stroke is a rare phenomenon with only a few cases reported in the literature.

Case presentation

We report an unusual case of a 44-year-old African-American man with a history of hypertension, smoking and cocaine use who developed acute aphonia secondary to simultaneous ischemic infarctions of the bilateral putamen nuclei.

Conclusion

We describe the clinical presentation of acute aphonia induced by bilateral putamen nuclei ischemic infarctions, correlating clinical symptoms with injury localization. We further highlight the anatomic and functional organization of the neural pathways involved.