RT Journal Article SR Electronic T1 Thoracic aortic aneurysm presenting only as vocal cord paralysis JF Neurosciences Journal JO Neurosciences (Riyadh) FD Prince Sultan Military Medical City SP 245 OP 248 VO 12 IS 3 A1 Elzamzamy, Usama A. A1 Joharjy, Ismail A. YR 2007 UL http://nsj.org.sa/content/12/3/245.abstract AB We present a case of unilateral vocal cord paralysis in a 76-year-old Saudi male presenting with hoarseness of voice caused by thoracic aortic aneurysm. Here, we are illustrating a rare entity of thoracic aortic aneurysm presenting only with hoarseness of voice to draw attention to unusual clinical manifestations of this serious underlying aortic pathology.