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[Pediatric reversible acute velar palsy: A case report]

C Brecheteau1, L Laccourreye1, S Gueden2

  • 1Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, centre hospitalier et universitaire d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|March 31, 2015
PubMed

Insights

Acute idiopathic velopharyngeal reversible paralysis in children is rare. This case highlights rapid recovery with corticosteroids, suggesting avoiding extensive testing for similar presentations.

Area of Science:

  • Pediatric Neurology
  • Otolaryngology

Background:

  • Acute idiopathic velopharyngeal reversible paralysis is a rare condition in children.
  • Approximately 40 cases have been documented in medical literature.

Observation:

  • A 12-year-old boy presented with rhinolalia, nasal regurgitation, and facial asymmetry.
  • Diagnosis revealed rhombencephalitis caused by enterovirus.
  • Treatment with oral corticosteroids led to rapid symptom improvement within 3 days.

Findings:

  • Complete symptom regression was observed after one month of monitoring.
  • Imaging results in similar cases are typically normal.
  • Recovery, with or without corticosteroids, is the usual outcome.

Implications:

  • Suggests that a characteristic clinical presentation of velopharyngeal paralysis warrants conservative diagnostic approaches.
  • Highlights the potential efficacy of corticosteroids in managing enteroviral rhombencephalitis.
  • Advocates for limiting costly and unnecessary investigations in suspected cases.
Abstract

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