Division of Pediatric Neurology, Kanagawa Children's Medical Center, 2-138-4 Mutsukawa, Yokohama, Kanagawa, Japan.
Pediatr Neurol. 2012 Sep;47(3):198-200. doi: 10.1016/j.pediatrneurol.2012.04.021.
A 4-year-old boy presented with a sudden onset of nasal escape of fluids, nasal speech, and difficulty placing his left arm through a sleeve. Neurologic examination indicated a unilateral cranial IX and X and contralateral XI nerve palsy that was considered idiopathic. Palsy of cranial nerves IX, X, and XI is rare in childhood, and few reports have described this condition. Our patient received prednisolone for 1 week and demonstrated complete recovery within several weeks. We suggest that aggressive therapy is unnecessary for patients with idiopathic cranial polyneuropathy. The pathogenesis of this condition may involve an immunologic mechanism.
一位 4 岁男孩突发出现鼻腔液体漏出、鼻音和难以将左臂穿过袖子。神经检查提示单侧颅神经 IX 和 X 以及对侧 XI 神经麻痹，被认为是特发性的。儿童颅神经 IX、X 和 XI 麻痹很少见，很少有报道描述这种情况。我们的患者接受了泼尼松龙治疗 1 周，并在数周内完全恢复。我们建议特发性颅神经病患者无需进行积极治疗。这种情况的发病机制可能涉及免疫机制。
