VELOPHARYNGEAL INCOMPETENCE SUSPECTED SYMPTOM TO CONGENITALMYOPATHY: A CASE REPORT

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Aghaz Alireza; DERAKHSHANDEH FATEMEH; HEMMATI EHSAN; SHAFIEI BIJAN

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Journal: Jundishapur Scientific Medical Journal Year:2017 | Volume:16 | Issue:5 Page(s): 591-598

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Title

VELOPHARYNGEAL INCOMPETENCE SUSPECTED SYMPTOM TO CONGENITALMYOPATHY: A CASE REPORT

Author(s)

Aghaz Alireza | DERAKHSHANDEH FATEMEH | HEMMATI EHSAN | SHAFIEI BIJAN | Issue Writer Certificate

Keywords

CONGENITAL MYOPATHYQ1

VELOPHARYNGEAL INCOMPETENCEQ1

HYPERNASALITYQ1

CLEFT PALATEQ2

CASE STUDYQ2

Abstract

Background and Objective: Although CLEFT PALATE is the mostcommon cause of velopharyngeal dysfunction (VPD), otherdisorders can also cause HYPERNASALITY and/or nasal emission. VELOPHARYNGEAL INCOMPETENCE (VPI) is one of the VPD. VPI isusually associated with a CLEFT PALATE but it can occur without a cleftpalate. CONGENITAL MYOPATHY (CM) is a muscular disorder thatrecognizes early onset of the disease, muscle weakness, hypotoniaand delayed motor development. Yet do not specify the effect ofVPI due to CM, on speech. The purpose of this paper was todescribe a case of VPI as one of the main clinical manifestations ina patient with a CONGENITAL MYOPATHY. Case presentation: The patient was a four years old female. Therewas no family history of CLEFT PALATE or lip. The only complaint ofthe family was unclear speech and her HYPERNASALITY. Afterperceptual assessment and diagnosis of severe HYPERNASALITY, endoscopy was performed. Endoscopy showed that in the absenceof structural abnormalities, soft palate and pharynx walls weremoveless. there was a medium gap too. Discussion: Patient speech errors in high-pressure consonants, were severe HYPERNASALITY, posterior-nasal fricative and nasalemission. These errors are special features of CLEFT PALATE, but indevice evaluation, she had no obvious or even submucosal cleftpalate. With reference to the neurologist, specify the VPIsymptoms, resulting from CONGENITAL MYOPATHY. The reportemphasizes the need to suspect to a neuromuscular disease when aVPI is diagnosed and there is no evidence of an upper abdominalulcer and abdominal endoscopic cleft.

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APA: Copy

Aghaz, Alireza, DERAKHSHANDEH, FATEMEH, HEMMATI, EHSAN, & SHAFIEI, BIJAN. (2017). VELOPHARYNGEAL INCOMPETENCE SUSPECTED SYMPTOM TO CONGENITALMYOPATHY: A CASE REPORT. JUNDISHAPUR SCIENTIFIC MEDICAL JOURNAL, 16(5 ), 591-598. SID. https://sid.ir/paper/12981/en

Vancouver: Copy

Aghaz Alireza, DERAKHSHANDEH FATEMEH, HEMMATI EHSAN, SHAFIEI BIJAN. VELOPHARYNGEAL INCOMPETENCE SUSPECTED SYMPTOM TO CONGENITALMYOPATHY: A CASE REPORT. JUNDISHAPUR SCIENTIFIC MEDICAL JOURNAL[Internet]. 2017;16(5 ):591-598. Available from: https://sid.ir/paper/12981/en

IEEE: Copy

Alireza Aghaz, FATEMEH DERAKHSHANDEH, EHSAN HEMMATI, and BIJAN SHAFIEI, “VELOPHARYNGEAL INCOMPETENCE SUSPECTED SYMPTOM TO CONGENITALMYOPATHY: A CASE REPORT,” JUNDISHAPUR SCIENTIFIC MEDICAL JOURNAL, vol. 16, no. 5 , pp. 591–598, 2017, [Online]. Available: https://sid.ir/paper/12981/en

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