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Acquired and isolated asymmetrical palatal palsy
J C Cuvellier1, J M Cuisset, J P Nuyts
1Service des Maladies Infectieuses et Neurologie Infantiles, CHU, Lille, France.
Neuropediatrics
|February 24, 1999
Summary
Benign acquired isolated asymmetrical palatal palsy in children presents with sudden speech changes and fluid nasal escape. Brain imaging revealed no abnormalities in affected cases, with spontaneous recovery typical.
Area of Science:
- Neurology
- Pediatrics
- Otolaryngology
Background:
- Benign acquired isolated asymmetrical palatal palsy is a rare childhood condition.
- It typically manifests with sudden onset of speech abnormalities and nasal fluid leakage.
Observation:
- This report details three pediatric cases of this rare condition.
- Key symptoms include rhinolalia (abnormal speech) and ipsilateral nasal fluid escape.
- Viral infection is suspected but unconfirmed due to failed viral isolation attempts.
Findings:
- Complete spontaneous recovery usually occurs within weeks.
- Magnetic resonance imaging (MRI) of the brain was performed in two cases.
- No abnormalities were detected on MRI in the cases examined.
Implications:
- This study provides initial insights into the neuroimaging findings of palatal palsy.
- The findings suggest that structural brain abnormalities are unlikely in this condition.
- Further research is needed to elucidate the exact etiology and confirm the benign prognosis.