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Idiopathic palatal palsy.

Saud Ahmed¹, Altaf Hussain¹, Tejaswini Patel¹

¹Department of ENT and Family Medicine, Primecare Hospital, Bengaluru, Karnataka, India.

Journal of Family Medicine and Primary Care

|January 6, 2018

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Isolated palatine paralysis in a child resolved spontaneously within 10 days. This rare condition, causing nasal regurgitation and speech issues, had no identifiable cause and required only conservative management.

Area of Science:

Neurology
Pediatrics
Otolaryngology

Background:

Palatine paralysis, a rare neurological condition, affects speech and swallowing.
It can manifest with symptoms like nasal regurgitation and hyponasal speech.

Observation:

A 10-year-old boy presented with acute onset of nasal regurgitation and nasal speech.
Clinical examination confirmed isolated paralysis of the soft palate.
Brain magnetic resonance imaging (MRI) was performed and revealed no abnormalities.

Findings:

The patient experienced complete recovery from palatine paralysis within 10 days.
No underlying cause, including infections, trauma, tumors, or brainstem lesions, was identified.
The condition resolved without any residual neurological deficits.

Keywords:

Idiopathic nasal regurgitation nasal speech palatine paralysis

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Implications:

This case highlights the possibility of idiopathic palatine paralysis in children.
It underscores the importance of conservative management for isolated palatine paralysis.
Further research may be needed to elucidate the etiology of such idiopathic cases.