1.
Pediatr Neurol
; 47(3): 198-200, 2012 Sep.
Article
in English
| MEDLINE
| ID: mdl-22883285
ABSTRACT
A 4-year-old boy presented with a sudden onset of nasal escape of fluids, nasal speech, and difficulty placing his left arm through a sleeve. Neurologic examination indicated a unilateral cranial IX and X and contralateral XI nerve palsy that was considered idiopathic. Palsy of cranial nerves IX, X, and XI is rare in childhood, and few reports have described this condition. Our patient received prednisolone for 1 week and demonstrated complete recovery within several weeks. We suggest that aggressive therapy is unnecessary for patients with idiopathic cranial polyneuropathy. The pathogenesis of this condition may involve an immunologic mechanism.
Subject(s)
Accessory Nerve Diseases/drug therapy , Accessory Nerve Diseases/pathology , Glossopharyngeal Nerve Diseases/drug therapy , Glossopharyngeal Nerve Diseases/pathology , Polyneuropathies/drug therapy , Polyneuropathies/pathology , Vagus Nerve Diseases/drug therapy , Vagus Nerve Diseases/pathology , Accessory Nerve Diseases/physiopathology , Anti-Inflammatory Agents/therapeutic use , Child, Preschool , Functional Laterality , Glossopharyngeal Nerve Diseases/physiopathology , Humans , Male , Muscle Weakness/etiology , Palatal Muscles/pathology , Paralysis/etiology , Polyneuropathies/physiopathology , Prednisolone/therapeutic use , Uvula/abnormalities , Vagus Nerve Diseases/physiopathology
2.
CMAJ
; 176(12): 1702-3, 2007 Jun 05.
Article
in English
| MEDLINE
| ID: mdl-17548382