{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:42:34Z","timestamp":1756381354642,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 56-year-old woman was admitted to hospital due to stress-dependent hoarseness and hypertensive urgency. The patient reported peaks of blood pressure of 210\/160 mm Hg in combination with hoarseness. With indirect mirror examination, the ear-nose-and throat doctor diagnosed a paralysis of the vocal cord on the left side. The authors suspected a mass affecting the vagus nerve and performed a CT-scan with iodinated contrast material of the neck and thorax. Surprisingly the CT-scan showed an aneurysm of the aortic arch with a dilatation up to 4.8 cm, a kinking of 120\u00b0 and a chronic dissection in the aneurysm. During exercise or elevated blood pressure this aneurysm expanded and made a compression of the nervus laryngeus recurrens on the left side. Thus, there is an explanation for the patient\u2019s hoarseness on exertion and during hypertensive urgency.<\/jats:p>","DOI":"10.1136\/bcr.01.2012.5688","type":"journal-article","created":{"date-parts":[[2012,4,24]],"date-time":"2012-04-24T18:14:48Z","timestamp":1335291288000},"page":"bcr0120125688","source":"Crossref","is-referenced-by-count":0,"title":["A 56-year-old woman with stress-induced hoarseness"],"prefix":"10.1136","volume":"2012","author":[{"given":"Joerg","family":"Latus","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Franke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M Dominik","family":"Alscher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niko","family":"Braun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,4,24]]},"reference":[{"key":"2025082803580208000_2012.apr23_1.bcr0120125688.1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31816f27ee"},{"key":"2025082803580208000_2012.apr23_1.bcr0120125688.2","first-page":"1103","article-title":"Thoracic aortic aneurysms: a population-based study.","volume":"92","author":"Bickerstaff","year":"1982","journal-title":"Surgery"},{"key":"2025082803580208000_2012.apr23_1.bcr0120125688.3","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.690958"},{"key":"2025082803580208000_2012.apr23_1.bcr0120125688.4","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000154569.08857.7A"},{"key":"2025082803580208000_2012.apr23_1.bcr0120125688.5","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1097\/00005382-199704000-00011","article-title":"Helical CT angiography of the thoracic aorta.","volume":"12","author":"Rubin","year":"1997","journal-title":"J Thorac Imaging"},{"key":"2025082803580208000_2012.apr23_1.bcr0120125688.6","doi-asserted-by":"publisher","DOI":"10.1053\/sroe.2001.26938"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.01.2012.5688","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:58:07Z","timestamp":1756378687000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.01.2012.5688"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4,24]]},"references-count":6,"alternative-id":["10.1136\/bcr.01.2012.5688"],"URL":"https:\/\/doi.org\/10.1136\/bcr.01.2012.5688","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,4,24]]}}}