title: [Pediatric reversible acute velar palsy: A case report].
abstract: BACKGROUND
  Approximately 40 cases of acute idiopathic velopharyngeal reversible paralysis in the pediatric population have been reported in the literature.
  
  
  METHODS
  We present the case of a 12-year-old boy who had consulted in pediatric emergency departments for symptomatology including rhinolalia, nasal regurgitation, and deviation of the labial commissure. Paraclinical explorations helped diagnose rhombencephalitis with enterovirus. The introduction of oral corticosteroids was followed by rapid clinical improvement in 3 days. Monitoring 1 month later showed complete regression of symptoms.
  
  
  CONCLUSIONS
  Similar cases in the literature describe the occurrence of nasal regurgitation and rhinolalia, sometimes associated with other cranial nerve impairment. The pathogenesis is rarely highlighted and the imaging results are always normal. Ad integrum recovery with or without corticosteroids is the rule. In light of this literature review, it is possible to conclude that the occurrence of such a suggestive clinical picture should limit the often costly and unnecessary additional tests.
authors.affiliation: Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, centre hospitalier et universitaire d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France. Electronic address: clem_brechet@hotmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Brecheteau
authors.affiliation: Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, centre hospitalier et universitaire d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France.
authors.forename: L
authors.initials: L
authors.lastname: Laccourreye
authors.affiliation: Service de pédiatrie, centre hospitalier et universitaire d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France.
authors.forename: S
authors.initials: S
authors.lastname: Gueden
authors.affiliation: Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, centre hospitalier et universitaire d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France.
authors.forename: R
authors.initials: R
authors.lastname: Breheret
mesh_terms: D000284:Administration, Oral; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D002648:Child; D003389:Cranial Nerve Diseases / Q000175:diagnosis* / Q000188:drug therapy; D018792:Encephalitis, Viral / Q000175:diagnosis* / Q000188:drug therapy; D004769:Enterovirus Infections / Q000175:diagnosis* / Q000188:drug therapy; D005155:Facial Nerve Diseases / Q000175:diagnosis / Q000188:drug therapy; D020435:Glossopharyngeal Nerve Diseases / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D010243:Paralysis / Q000175:diagnosis* / Q000188:drug therapy; D012249:Rhombencephalon; D016896:Treatment Outcome; D020421:Vagus Nerve Diseases / Q000175:diagnosis / Q000188:drug therapy; D014681:Velopharyngeal Insufficiency / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000305:Adrenal Cortex Hormones