Vagus nerve palsy: clinical features

Evidence-based neurology checklist on vagus nerve palsy: clinical features: Clinical features Dysphonia: this manifests as a hoarse, nasal voice The soft palate droops ipsilaterally: it does not rise with phonation The uvula deviates to the normal side on phonation There is loss of the gag reflex…

Clinical features

  • Dysphonia: this manifests as a hoarse, nasal voice
  • The soft palate droops ipsilaterally: it does not rise with phonation
  • The uvula deviates to the normal side on phonation
  • There is loss of the gag reflex ipsilaterally
  • There is a curtain movement of the lateral pharyngeal wall
  • There is a midway vocal cord ipsilaterally (cadaveric position): it is between adduction and abduction
  • It may present with sensory neuropathic cough: see below
  • It may present with VANCOUVER syndrome: see below

Sensory neuropathic cough

VANCOUVER syndrome

Synonyms

Acronym

References

  1. Ropper AH, Brown RH. Principles of Neurology Eighth edition. McGraw Hill New York 2005 p1186.
  2. Brazis PW, Masdeu JC, Biller J. Localization in Clinical Neurology. Lippincott Williams & Wilkins 2007 Philadelphia p330.
  3. Gillig PM, Sanders RD. Cranial Nerves IX, X, XI, and XII. Psychiatry (Edgmont) 2010; 7:37-41.
  4. Lee JK, Mintz S. Chronic cough as a sign of laryngeal sensory neuropathy: diagnosis and treatment. Ann Otol Rhinol Laryngol 2006; 115:871.
  5. Norris BK, Schweinfurth JM. Management of recurrent laryngeal sensory neuropathic symptoms. Ann Otol Rhinol Laryngol 2010; 119:188-191.
  6. And 4 more. Subscribe to see the full list

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