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Heterotopic brain tissue, an unexpected reason for feeding difficulty
Wei Mo1, Shixi Liu1, Hui Yang1
1Department of Otorhinolaryngology-Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, China.
Insights
Heterotopic brain tissue in the pharynx is a rare cause of infant feeding difficulty. Surgical removal resolved the issue without oropharyngeal functional disturbance in this case.
Area of Science:
- Neurology
- Pediatrics
- Otolaryngology
Background:
- Feeding difficulty is a common challenge in infants, often stemming from multiple underlying conditions.
- Pharyngeal heterotopic brain tissue is an exceptionally rare etiology for infant feeding issues, with limited documented cases.
Observation:
- A 2-month-old male infant presented with significant feeding difficulty.
- Diagnostic evaluation revealed the presence of oropharyngeal heterotopic brain tissue.
Findings:
- Surgical excision of the oropharyngeal heterotopic brain tissue was successfully performed.
- Postoperative assessment confirmed no residual functional impairment of the oropharynx.
Implications:
- This case highlights an unusual cause of infant feeding difficulty, emphasizing the need for comprehensive differential diagnoses.
- Accurate diagnosis and timely surgical intervention for pharyngeal heterotopic brain tissue can lead to favorable outcomes.
- Further understanding of this rare condition can improve clinical recognition and management strategies.
Abstract:
Feeding difficulty is common in the infant; the causes are varied and often multifactorial, resulting from a confluence of comorbid conditions. Heterotopic brain tissue is an unexpected reason for feeding difficulty, with approximately only 49 cases reported in the pharyngeal region. In this case report, we present a 2-month-old male infant with feeding difficulty, who was finally diagnosed as oropharyngeal heterotopic brain tissue. The patient underwent surgical excision; no functional disturbance of the oropharynx was found postoperatively. This study aims to enhance the comprehension, accurate diagnosis, and appropriate treatment of of feeding difficulty and pharyngeal heterotopic brain tissue by presenting an unusual case.

