Rhinophonia aperta beim Erwachsenen Seltene Manifestationsform einer Polyneuritis cranialis

Translated title of the contribution: Open rhinophonia in adults

C. Heiser, O. Willmann, G. Bran, R. Kern, K. Hörmann, B. A. Stuck

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


A 46-year-old male patient reported difficulties in speech and swallowing following gastroenteritis. Marked open nasality (open rhinophonia) and swallowing difficulties with occasional passing of food into the nasopharynx was observed during speaking with the head held in an upright position. The patient was able to articulate clearly with the head reclined or in a lying position. Endoscopy identified complete bilateral soft palate paresis consistent with bilateral glossopharyngeal nerve palsy. Additional symptoms of cranial nerve palsy appeared in the course of the disease. Intravenous corticosteroids were ineffective. A marked improvement of symptoms was achieved after i. v. immunoglobulin therapy that was initiated following identification of serum IgM anti-GM 1 ganglioside antibodies under suspicion of cranial polyneuritis. Nasality was largely resolved under additional speech exercise therapy.

Translated title of the contributionOpen rhinophonia in adults
Original languageGerman
Pages (from-to)155-158
Number of pages4
Issue number2
StatePublished - Feb 2010
Externally publishedYes


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