Unresolved drooling in a previously healthy child caused by a brainstem malignancy

Drooling occurs commonly in children below the age of two. In a small group of children this persists and an otorhinolaryngology consultation is sought. In children with no neurological abnormality or comorbidity, reassurance and behavioural management is often suggested. We present a case where dro...

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Published in:International journal of pediatric otorhinolaryngology Vol. 94; pp. 11 - 13
Main Authors: Shelton, Fenella, Sproson, Eleanor, Van der Veen, Jana, Evans, Hazel, Burgess, Andrea, Ismail-Koch, Hasnaa
Format: Journal Article
Language:English
Published: Ireland Elsevier B.V 01.03.2017
Subjects:
Adenoidectomy
Brain Stem Neoplasms - complications
Brain Stem Neoplasms - diagnostic imaging
Brainstem malignancy
Child, Preschool
Drooling
Humans
Magnetic Resonance Imaging
Male
Otolaryngology
Pediatrics
Sialorrhea - etiology
Drooling
Adenoidectomy
Brainstem malignancy
ISSN:0165-5876, 1872-8464, 1872-8464
Online Access:Get full text
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Summary:Drooling occurs commonly in children below the age of two. In a small group of children this persists and an otorhinolaryngology consultation is sought. In children with no neurological abnormality or comorbidity, reassurance and behavioural management is often suggested. We present a case where drooling was the presenting feature of brain stem malignancy. Diagnosis was suggested following a sleep study demonstrating central apnoeas. Magnetic resonance imaging (MRI) showed an intra-axial brainstem tumour. This case highlights the importance of multidisciplinary team (MDT) management of children with persistent drooling of unknown cause.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0165-5876
1872-8464
1872-8464
DOI:10.1016/j.ijporl.2016.12.033