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Paroxysmal sneezing in children: two new cases
1Department of Otolaryngology, McGill University, Montreal, Quebec, Canada.
The Journal of Otolaryngology
|December 1, 1992
Summary
Paroxysmal sneezing in adolescents is often misattributed to psychogenic causes. This study highlights nasal sensitivity as a potential cause, suggesting topical nasal anesthesia as a treatment for intractable cases.
Area of Science:
- Otolaryngology
- Pediatrics
- Psychosomatic Medicine
Background:
- Paroxysmal sneezing is an uncommon condition predominantly seen in adolescents.
- Historically, most cases have been attributed to psychogenic factors.
- Limited evidence suggests nasal sensitivity as an alternative etiology.
Observation:
- Two adolescent cases of paroxysmal sneezing without apparent psychologic issues are presented.
- Sneezing persisted during sleep in one patient.
- Topical nasal anesthesia provided successful treatment for the other patient.
Findings:
- Both cases suggest nasal sensitivity as the underlying cause of paroxysmal sneezing.
- The etiology may not always be psychogenic, necessitating thorough evaluation.
- Topical nasal anesthesia is a viable treatment option for severe cases.
Implications:
- Clinicians should consider nasal sensitivity in adolescent paroxysmal sneezing.
- A comprehensive history and physical examination are crucial for accurate diagnosis.
- Topical nasal anesthesia offers a potential therapeutic strategy for refractory paroxysmal sneezing.