Sudden onset palatal palsy-an iceberg in ENT


  • Stuti Shukla Department of ENT, Sharda University, Greater Noida, Uttar Pradesh, India
  • Sama Rizvi Department of ENT, Sharda University, Greater Noida, Uttar Pradesh, India
  • Bhumesh Tyagi Department of Medicine, School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India



Idiopathic, Nasal regurgitation, Nasal speech, Palatine paralysis


We report a case of isolated palatine paralysis in a 15-year-old boy. The patient presented with complaints of nasal regurgitation of liquids with nasal speech. The patient recovered in 10 days without any residual paralysis. Various causes, which include infections, trauma, tumor, and brainstem lesions, were investigated, but no predisposing factor was found. The patient responded well to conservative management.


Edin M, Sveger T, Tegner H, Tjernström O. Isolated temporary pharyngeal paralysis in childhood. Lancet. 1976;1:1047-9.

Izzat M, Sharma PD. Isolated bilateral paralysis of the soft palate in an adult. J Laryngol Otol. 1992;106:839-40.

Sullivan JL, Carlson CB. Isolated temporary pharyngeal paralysis in childhood. Lancet. 1976;2:863.

Auberge C, Ponsot G, Gayraud P, Bouygues D, Arthuis M. Acquired isolated velopalatine hemiparalysis in children. Arch Fr Pediatr. 1979;36:283-6.

Nussey AM. Paralysis of palate in a child. Br Med J. 1977;2:165-6.

Walter V, Nisa L, Leuchter I. Acute isolated velopharyngeal insufficiency in children: Case report and systematic review of the literature. Eur Arch Otorhinolaryngol. 2013;270:1975-80.

Lapresle J, Lasjaunias P, Thévenier D. Transitory paralysis of cranial nerves IX, X and XII as well as the left VII after angiography. Contribution to the ischemic pathology of the cranial nerves. Rev Neurol (Paris). 1980;136:787-91.

Sondhi V, Patnaik SK. Isolated idiopathic unilateral paralysis of soft palate and pharynx. Indian Pediatr. 2011;48:237-9.

Soares-Fernandes JP, Maré R. Isolated velopalatine paralysis associated with parvovirus B19 infection. Arq Neuropsiquiatr. 2006;64:603-5.

Prasad PL, Prasad AN, Patnaik SK. Unilateral palatal palsy with viral hepatitis. Indian J Pediatr. 2007;74:1039-40.

Singh H, Mathur R, Kaur P. Isolated palatal palsy: A clinical rarity. Neuroimmunol Neuroinflamm. 2015;2:190-2.

Villarejo-Galende A, Camacho-Salas A, Penas-Prado M, García-Ramos R, Mendoza MC, Simón de las Heras R, et al. Unilateral isolated paralysis of the soft palate: A case report and a review of the literature. Rev Neurol. 2003;36:337-9.






Case Reports