No abstract

Thompson and Bailey-Correa: Non-Surgical Nutritional Interventions in Children with Cerebral Palsy-Developing a Targeted Interdisciplinary Approach in a Low-Cost Setting Art. 14, page 2 of 3 physician, social worker, nutritionist, physical therapist along with a speech and swallow therapist may be beneficial to long-term gains in patient care. The provision of appropriate social counselling for families utilizing a patient-centered partnership can assist in allaying fears and feelings of inadequacy amongst caregivers.

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A three-year eight-month-old female with Werdnig Hoffman disease presented with an acute onset of respiratory failure secondary to influenza infection. The patient required conventional mechanical ventilation (CMV). Due to worsening hypoxemia on maximal support, highfrequency oscillatory ventilation (HFOV) was initiated. On recovery from her respiratory failure, she was noted to have developed a left-sided Bell's palsy. A pressure ulcer in the left mastoid area through which the facial nerve transverses was noted, with no evidence of mastoiditis. The patient fully recovered after a course of oral steroid therapy. We postulate that compression pressure might have contributed to the palsy. However, it is unclear what role the acute viral illness played in this case.