Vol.101 No.10 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 101 No. 10 October 2008
Five Cases of Idiopathic Associated Laryngeal Paralysis
Yuki Saito, Atsushi Kinoshita and Masayuki Kabeya
(Takeda General Hospital)
Asayo Endo
(Tokyo Metropolitan Fuchu Hospital)
Mutsukazu Kitano
(International Medical Center of Japan)
We present five cases showing lower cranial nerve palsy. All patients complained of dysphagia due to bilateral IX and X cranial nerve palsy. Serum antibodies to HSV and VZV suggested viral neuropathy. One patient, a 62-year-old man, underwent rehabilitation of swallowing for 1.5 months in order to resume oral intake. Four patients, a 29-year-old woman, 71-year-old woman, 38-year-old-woman and 69-year-old woman, underwent steroid and anti-viral therapy based on the regimen for Ramsay-Hunt syndrome. All patients showed remarkable improvement in oral intake ability. In cases showing acute onset of unilateral cranial nerve palsy, steroid therapy and anti-viral therapy should be considered.
Key words :lower cranial nerve palsy, HSV, VZV, steroid therapy