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Tytuł:
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Acute-onset isolated bilateral palatal palsy in an adolescent.
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Autorzy:
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Jaiswal AS; Otorhinolaryngology and Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Kumar R; Otorhinolaryngology and Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India .
Sagar P; Otorhinolaryngology and Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Kumar R; Otorhinolaryngology and Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India.
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Źródło:
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BMJ case reports [BMJ Case Rep] 2021 Sep 03; Vol. 14 (9). Date of Electronic Publication: 2021 Sep 03.
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Typ publikacji:
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Case Reports; Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BMJ Pub. Group
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MeSH Terms:
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Palate*
Paralysis*/diagnosis
Paralysis*/etiology
Adolescent ; Humans ; Muscle Weakness ; Speech Disorders
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References:
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J Laryngol Otol. 1992 Sep;106(9):839-40. (PMID: 1431530)
Eur Arch Otorhinolaryngol. 2013 Jul;270(7):1975-80. (PMID: 23053390)
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Contributed Indexing:
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Keywords: cranial nerves; infection (neurology); otolaryngology / ENT
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Entry Date(s):
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Date Created: 20210904 Date Completed: 20210907 Latest Revision: 20230904
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Update Code:
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20240105
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PubMed Central ID:
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PMC8420686
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DOI:
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10.1136/bcr-2021-243467
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PMID:
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34479886
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A 16-year-old patient presented with sudden-onset difficulty in swallowing food especially for liquids with nasal regurgitation and rhinolalia with no history of fever and limb weakness. Examination revealed bilateral palatal palsy with absence of gag reflex. Other neurological examinations were normal. Investigations were done to rule out any known pathology leading to such a presentation. The symptoms were attributed to an idiopathic acute-onset-acquired bilateral palatal palsy, in the absence of any identifiable cause. This is a rare presentation in adolescent age with no case reported in the literature so far in this age group. Medical management was started and patient showed complete improvement within 2 weeks of his symptoms. Early diagnosis and aggressive management of this condition lead to a favourable prognosis.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
