Journal of Child Neurology

 

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Journal of Child Neurology, Vol. 15, No. 2, 130-132 (2000)
DOI: 10.1177/088307380001500213

Vagal and Hypoglossal Bell's Palsy

Raffaella Zannolli, MD

Department of Pediatrics Policlinico Le Scotte University of Siena Siena, Italy

Antonio Acquaviva, MD

Department of Pediatrics Policlinico Le Scotte University of Siena Siena, Italy

Alfonso D'Ambrosio, MD

Department of Pediatrics Policlinico Le Scotte University of Siena Siena, Italy

Lucia Pucci, PhD

Department of Pediatrics Policlinico Le Scotte University of Siena Siena, Italy

Paolo Balestri, MD

Department of Pediatrics Policlinico Le Scotte University of Siena Siena, Italy

Guido Morgese, MD

Department of Pediatrics Policlinico Le Scotte University of Siena Siena, Italy, morgese{at}unisi.it

A 7-year-old boy was referred because of a sudden change to nasal speech, dysarthria for words with explosive consonants in speech, and nasal regurgitation of fluids. The symptoms arose over 1 week following a capricious episode of acute asthmatic bronchitis. Physical and neurologic examinations were normal except for a left deviation of the uvula, accompanied by a "curtain" movement of the posterior pharyngeal wall against the opposite side, and a left deviation of the protruded tongue. No vascular, traumatic, infectious, neoplastic, or neurologic causes could be identified. No therapy was administered. Full recovery occurred 4 months later. The diagnosis was idiopathic vagal and right hypoglossal nerve palsy (Bell's palsy). (J Child Neurol 2000;15:130-132)


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