Dysphagia after Multiple Lower Cranial Nerves Palsy Induced by Inflammatory Lesion: A Case Report
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Speech and swallowing disorder is frequently observed in stroke, brain injury, tumors, and radiation therapy. A 65-year-old woman was admitted to otolaryngology department due to dysphagia and hoarseness. These symptoms occurred two weeks after upper respiratory infection (URI). She was diagnosed with inflammatory multiple lower cranial nerves by Videofluroscopic Swallowing Study (VFSS), MRI, and neurophysiologic examinations. Shaker’s exercise for dysphagia has been performed, and the dysphagia has improved after two months. However the hoarseness persisted, and this has been improved with thyroplasty. Dysphagia by unilateral inflammatory multiple lower cranial nerve palsy would be a rare complication of URI, and we experienced a case of multiple lower cranial neuropathy with successful management.
Abstract
Speech and swallowing disorder is frequently observed in stroke, brain injury, tumors, and radiation therapy. A 65-year-old woman was admitted to otolaryngology department due to dysphagia and hoarseness. These symptoms occurred two weeks after upper respiratory infection (URI). She was diagnosed with inflammatory multiple lower cranial nerves by Videofluroscopic Swallowing Study (VFSS), MRI, and neurophysiologic examinations. Shaker’s exercise for dysphagia has been performed, and the dysphagia has improved after two months. However the hoarseness persisted, and this has been improved with thyroplasty. Dysphagia by unilateral inflammatory multiple lower cranial nerve palsy would be a rare complication of URI, and we experienced a case of multiple lower cranial neuropathy with successful management.
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