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Living with Ptosis-vocal cord paralysis syndrome

A rare inherited condition present from birth with drooping eyelids and paralysis of the nerves to the voice box.

Understanding Ptosis-vocal cord paralysis syndrome

Ptosis-vocal cord paralysis syndrome is a rare inherited disorder with drooping eyelids and vocal cord paralysis present from birth.

It combines drooping of both upper eyelids (ptosis) with paralysis of both nerves that control the voice box. GARD says it hasn't been described in the literature since 1983.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Drooping upper eyelids (ptosis)
  • Nasal-sounding speech
  • Softening of the voice box tissue (laryngomalacia)
  • Short stature
  • Paralysis on one side of the body

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include eye disease specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How can voice and breathing be checked and supported?
What options exist for the drooping eyelids?
Is genetic testing available for our family?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant

GARD says gene changes cause this condition. It is autosomal dominant, meaning one changed copy of the gene from a parent is enough.

Genetic

Also known as: congenital bilateral recurrent nerve paralysis and ptosis; ptosis and vocal cord paralysis syndrome; ptosis vocal cord paralysis; tucker syndrome; vocal cord paralysis and ptosis

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Ptosis-vocal cord paralysis syndromeGARD ID 427 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Ptosis-vocal cord paralysis syndrome.

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