DURAL METASTASIS AT MEDULLA-OBLONGATA - A RARE CAUSE OF VOCAL FOLD PARALYSIS

Malignancy is a major cause of vocal fold paralysis. Nevertheless, met astatic disease at the brainstem leading to high vagal paralysis is ra rely encountered. We illustrate an unusual case of unilateral vocal fo ld paralysis caused by dural metastasis directly compressing on the nu cleus ambiguus. The median position of the paralysed vocal fold is inc onsistent with the Wagner and Grossman theory predicting the location of the lesion.