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

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• 作者：Fenella Shelton^a ; ^{Fenella.shelton@doctors.org.uk} ; Eleanor Sproson^a ; Jana Van der Veen^a ; Hazel Evans^b ; Andrea Burgess^a ; Hasnaa Ismail-Koch^a
• 关键词：Drooling ; Adenoidectomy ; Brainstem malignancy
• 刊名：International Journal of Pediatric Otorhinolaryngology
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：94
• 期：Complete
• 页码：11-13
• 全文大小：528 K
• 卷排序：94

文摘

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.