• C Brecheteau, L Laccourreye, S Gueden, and R Breheret.
• 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.
• Arch Pediatr. 2015 May 1; 22 (5): 544-6.

IntroductionApproximately 40 cases of acute idiopathic velopharyngeal reversible paralysis in the pediatric population have been reported in the literature.ObservationWe 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.DiscussionSimilar 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.Copyright © 2015 Elsevier Masson SAS. All rights reserved.

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