Hypernasality — a rare initial symptom of a cerebellar astrocytoma

Nasality is a disorder due to nasal resonance, which may be induced by a variety of etiologies. Transitional hypernasality is frequently seen in children after adenoidectomy. The alleged post-surgical hypernasality in the case presented was shown to be related to the late detection of an astrocytoma...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2000-10, Vol.55 (3), p.207-210
Main Authors: Habermann, Walter, Kiesler, Karl, Dornbusch, Hans Jürgen, Friedrich, Gerhard
Format: Article
Language:English
Subjects:
Adenoidectomy
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Astrocytoma
Astrocytoma - complications
Astrocytoma - diagnosis
Astrocytoma - therapy
Biological and medical sciences
Cerebellar Neoplasms - complications
Cerebellar Neoplasms - diagnosis
Cerebellar Neoplasms - therapy
Child
Combined Modality Therapy
Diagnosis, Differential
Follow-Up Studies
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Hypernasality
Magnetic Resonance Imaging
Male
Medical sciences
Neurology
Radiotherapy - methods
Speech Acoustics
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Tomography, X-Ray Computed
Tumors of the nervous system. Phacomatoses
Voice Disorders - etiology
Voice Quality
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Summary:Nasality is a disorder due to nasal resonance, which may be induced by a variety of etiologies. Transitional hypernasality is frequently seen in children after adenoidectomy. The alleged post-surgical hypernasality in the case presented was shown to be related to the late detection of an astrocytoma of the cerebellum and the brain stem in a 6-year-old boy. This case was characterized by increased hypernasality which failed speech therapy. A developing one-sided vocal fold palsy in combination with an ipsilateral soft-palate palsy indicated further investigation. Computerized tomography (CT) and magnetic resonance imaging (MRI) revealed a brain stem-tumor with a maximum size of 6 cm involving parts of the cerebellum. These findings demonstrated the need for a strict follow-up, even after adenoidectomy, in the presence of hypernasality for identifying concurrent etiologies as well as cases suitable for speech therapy.
ISSN:0165-5876
1872-8464
DOI:10.1016/S0165-5876(00)00394-3