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September 1920, Vol 26, No. 3 >
ARTICLE | September 1920

PARALYSIS OF THE LEFT RECURRENT LARYNGEAL NERVE ASSOCIATED WITH MITRAL STENOSIS

JOSEPH GARLAND, M.D.; PAUL D. WHITE, M.D.
Arch Intern Med (Chic). 1920;26(3):343-351. doi:10.1001/archinte.1920.00100030087008.
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INTRODUCTION  A number of cases of paralysis of the left recurrent laryngeal nerve, associated with mitral disease, have been reported during the last twenty-three years. It seems probable, in view of the cases to be reported in this paper, that such a complication, as evidenced by aphonia or slight hoarseness, may be more common than is generally suspected. That this association is not more widely recognized may be due simply to the fact that the paralysis either is not noted or is not attributed to the underlying cardiac condition, and it is reasonable to suppose that, if the possibility of such a complication were borne in mind, more cases would come to light which might fit into this category.The first mention of this condition in the literature is a report of two cases by Norbert Ortner1 in 1897. We have found in all forty-four references on the subject, for

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