Vagal and hypoglossal Bell's palsy.
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).
Zannolli
R
R
Department of Pediatrics, Policlinico Le Scotte, University of Siena, Italy.
Acquaviva
A
A
D'Ambrosio
A
A
Pucci
L
L
Balestri
P
P
Morgese
G
G
D020330:Bell Palsy / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology*; D001921:Brain / Q000473:pathology; D002648:Child; D004401:Dysarthria / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014059:Tongue / Q000503:physiopathology*; D014630:Vagus Nerve / Q000503:physiopathology*