Medical College of Wisconsin
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Sympathetic neuropathy and dysphagia following doxycycline sclerotherapy. Int J Pediatr Otorhinolaryngol 2013 Sep;77(9):1613-6

Date

08/13/2013

Pubmed ID

23931985

DOI

10.1016/j.ijporl.2013.07.005

Scopus ID

2-s2.0-84882701945 (requires institutional sign-in at Scopus site)   8 Citations

Abstract

This case report demonstrates neurologic sequela following treatment with doxycycline sclerotherapy. A six-week-old child presented with respiratory distress from a macrocystic lymphatic malformation, extending from the skull base to the anterior mediastinum. Following doxycycline sclerotherapy, the airway symptoms resolved; however, the child developed silent aspiration and Horner's syndrome. Two months following treatment the patient resumed oral diet and at one year post-intervention there has been no recurrence of symptoms, with only mild ptosis remaining. While neuropathies following doxycycline sclerotherapy have been described, aspiration has never been documented. This case demonstrates a single patient's clinical course and resolution of their neuropathies.

Author List

Wang KL, Chun RH, Kerschner JE, Sulman CG

Author

Robert H. Chun MD Professor in the Otolaryngology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Airway Obstruction
Deglutition Disorders
Doxycycline
Female
Follow-Up Studies
Horner Syndrome
Humans
Infant
Lymphatic Abnormalities
Magnetic Resonance Imaging
Respiratory Aspiration
Respiratory Distress Syndrome, Newborn
Risk Assessment
Sclerotherapy