Isolated bilateral paralysis of the soft palate in an adult

Izzat, Mohammad Bashar; Sharma, P

doi:10.1017/s0022215100121048

Cited by 11 publications

(6 citation statements)

References 2 publications

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“…Definitive evidence in form of positive viral serology and/or culture could be established only in 05 (20%) of the 25 cases (Herpesviridae, Coxsackie, Rubeola, HAV, VZV). 2 The clinical profile and positive IgM-HAV in our case suggests a definite association with HAV infection. There is only 1 report of palatal palsy with epidemic hepatitis in literature till date.…”

Section: Discussionsupporting

confidence: 53%

“…She had positive imaging findings in that CT scan showed dilatation of both ventricles and partial stenosis of aqueduct of Sylvius, which normalized after 5 month. 2 Almost all had acute onset rhinolalia, ipsilateral nasal escape of fluids with varying degrees of dysphagia. Our case had mild symptoms limited to rhinolalia only.…”

Section: Discussionmentioning

confidence: 99%

“…Since, the first description by Edin in 1976, this has been increasingly recognized as a distinct albeit unusual condition peculiar to pediatric population, amidst the sporadic reports published over the last three decades. [1][2][3][4][5][6] Precise etiopathogenesis of this usually benign and self-limiting condition remains speculative till date. 3,6 An infection-associated cranial mononeuropathy is frequently postulated, though a definite link remains elusive.…”

mentioning

confidence: 99%

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Unilateral palatal palsy with viral hepatitis

Prasad

Prasad²,

Patnaik

2007

Indian J Pediatr

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Unilateral palatal palsy with viral hepatitis

Prasad

Prasad²,

Patnaik

2007

Indian J Pediatr

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“…In four of the rep o rted cases, a concomitant viral infection was diagnosed. Implicated viruses include varicella-zoster viru s ( V Z V ) 3 , herpes simplex virus (HSV) 4 , measles viru s 5 a n d Coxsackie A9 virus 6 . Despite the increased availability of diagnostic tests, the aetiology of acquired velopalatine palsy remains largely unknown.…”

Section: Paralisia Velopalatina Isolada Associada a Infecção Por Parvmentioning

confidence: 99%

Isolated velopalatine paralysis associated with parvovirus B19 infection

Soares-Fernandes

Maré

2006

Arq. Neuro-Psiquiatr.

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-A case of isolated velopalatine paralysis in an 8-year-old boy is presented. The symptoms were sudden-onset of nasal speech, re g u rgitation of liquids into the nose and dysphagia. Brain MRI and cereb rospinal fluid examination were normal. Infectious serologies disclosed an antibody arrangement toward s p a rv o v i rus B19 that was typical of recent infection. In the absence of other positive data, the possibility of a correlation between the tenth nerve palsy and parvovirus infection is discussed.KEY WORDS: paralysis, vagus nerve, palate, parvovirus B19, infection, childhood. Paralisia velopalatina isolada associada a infecção por parvovírus B 19RESUMO -Apresentamos um caso de paralisia velopalatina isolada, num menino de 8 anos, que se manifestou por voz nasalada, re g u rgitação de líquidos pelo nariz e disfagia, de início súbito. A ressonância magnética encefálica e o estudo do líquido cefalo-raquidiano foram normais. O perfil serológico dos anticorpos anti-parv o v í rus B19 era típico de infecção recente. Na ausência de outros dados positivos, discute-se a possibilidade de uma correlação entre a parésia do X nervo e a infecção por parvovírus.PALAVRAS-CHAVE: paralisia, nervo vago, palato, parvovirus B19, infecção, criança.Unilateral isolated paralysis of the soft palate is uncommon. Since the first description, by Edin et al in 1976 1 , 30 cases have been re p o rted, all of them in childhood or adolescence 2 . Patients typically pre s e n t sudden onset of nasal speech and dysfagia with complete re c o v e ryin weeks or months. In four of the rep o rted cases, a concomitant viral infection was diagnosed. Implicated viruses include varicella-zoster viru s ( V Z V ) 3 , herpes simplex virus (HSV) 4 , measles viru s 5 a n d Coxsackie A9 virus 6 . Despite the increased availability of diagnostic tests, the aetiology of acquired velopalatine palsy remains largely unknown.We present a case of unilateral velopalatine palsy associated with parvovirus infection in an 8-yearold male patient. CASEA previously healthy 8-year-old boy was brought to our e m e rgency department for sudden ons et, 3 days befor e , of nasal speech, re g u rgitation of liquids into the nose and d i fficulty in swallowing. One week before, he re f e rred diarrhoea, which resolved spontaneously in two days. He denied headaches, vomits, cervical pain or visual disturbance. There was, also, no traumatic or toxic ingestion history.On examination, he had a fine general appearance. In phonation, uvula deviated to the right due to left soft hemipalate palsy (Figure). The pharyngeal reflex and the vocal c o rds were intact. The exploration of the remaining cranial nerves was normal.L a b o r a t o ryanalysis, including blood cell count, ery t h rocyte sedimentation rate, C-reactive protein, thyroid function, vitamin B12, folic acid, antinuclear, anti-double-stranded DNA, antineutrophil cytoplasmic and antihistone antibodies were normal or unremarkable.

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“…It was first described in 1976 by Edin et al . [ 1 ] The causes include viruses such as varicella-zoster virus,[ 2 ] herpes simplex virus (HSV),[ 3 ] measles virus,[ 4 ] and Coxsackie A9 virus,[ 5 ] but exact pathogenesis could not be defined.…”

Section: Introductionmentioning

confidence: 99%

Idiopathic palatal palsy

Ahmed¹,

Hussain²,

Patel³

et al. 2017

J Family Med Prim Care

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We report a case of isolated palatine paralysis in a 10-year-old boy. This kid presented with complaints of nasal regurgitation of liquids with nasal speech. Brain magnetic resonance imaging was done which was normal. The patient recovered in 10 days without any residual paralysis. Various causes which include infections, trauma, tumor, and brainstem lesions were investigated, but no predisposing factor was found. The patient responded well to conservative management and had been asymptomatic for 3 months.

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Isolated bilateral paralysis of the soft palate in an adult

Cited by 11 publications

References 2 publications

Unilateral palatal palsy with viral hepatitis

Unilateral palatal palsy with viral hepatitis

Isolated velopalatine paralysis associated with parvovirus B19 infection

Idiopathic palatal palsy

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