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Benign Rolandic epilepsy presenting like paradoxical vocal fold motion
Jennifer H Gross1, Mary Bertrand2, Keiko Hirose1
1Washington University School of Medicine, Department of Otolaryngology, 660 South Euclid Avenue, Saint Louis, Missouri 63110, USA.
International Journal of Pediatric Otorhinolaryngology
|November 7, 2017
Summary
Paradoxical vocal fold motion (PVFM) can mimic symptoms of Benign Rolandic Epilepsy (BRE). Early diagnosis and treatment of BRE in children are crucial for resolving respiratory and neurological symptoms.
Area of Science:
- Neurology
- Otolaryngology
- Pediatrics
Background:
- Paradoxical vocal fold motion (PVFM) involves vocal fold adduction during breathing.
- Benign Rolandic Epilepsy (BRE) is common in children and can present with oropharyngolaryngeal or facial symptoms.
Observation:
- A 9-year-old male presented with apnea and suspected PVFM.
- Physical and fiberoptic exams were normal.
- The patient experienced oxygen desaturation, neck twitching, and tongue burning during observation.
Findings:
- Electroencephalogram (EEG) revealed focal epilepsy.
- Symptoms resolved after initiating anti-epileptic medication.
- The patient was diagnosed with Benign Rolandic Epilepsy (BRE).
Implications:
- BRE can present with symptoms mimicking primary otolaryngologic conditions.
- This case highlights the importance of considering neurological disorders in pediatric respiratory symptoms.
- Accurate diagnosis of BRE is essential for effective treatment and symptom resolution.
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