title: Laryngeal closure in the management of severe long-standing bulbar palsy in a child.
abstract: An 11-year-old girl developed a severe brainstem encephalopathy thought to be due to multiple sclerosis. She has been left with a severe long-standing bulbar palsy and a permanent tracheostomy. A new operation of laryngeal closure is described which gave relief from recurrent aspiration pneumonia and cardiorespiratory failure.
mesh_terms: D010244:Bulbar Palsy, Progressive / Q000150:complications* / Q000209:etiology; D002648:Child; D005260:Female; D006333:Heart Failure / Q000628:therapy; D006801:Humans; D007830:Larynx / Q000601:surgery*; D009103:Multiple Sclerosis / Q000150:complications / Q000209:etiology; D011015:Pneumonia, Aspiration / Q000209:etiology / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000628:therapy; D012411:Rubella Vaccine / Q000009:adverse effects
chemical_list: D012411:Rubella Vaccine