Abstract
Paralysis of cranial nerves reveal not only difficulty in speech and articulation, but numbness of taste, lose of appetite, difficulty in swallowing, digestive disturbance and therefore have an effect on nutrition of patient. Paralytic condition of nine of cranial nerves were examined. They were oculo motor, trochlear, abducens, trigeminal, facial, glossopharyngeal, vagus, accessory and hypoglossal nerves. The subjects are 77 children with cerebral palsy (spastic type 41, athetotic type 34, ataxic type 2). Ataxic type was excluded because it had few cases. Comparing spastic type with athetotic type, dysfunction of oculomotor, trochlear and abducens was 68. 3% in spastic type and 70.6% in athetotic type, in which a distinct difference was not seen. About the facial nerve, disorder was foundin almost all the cases in both types, 85.4% in spastic type and 100% in athetotic type. Clear differ ences between spastic and athetotic type were seen about trigeminal (14.6%, 50.0%), vagus (14.6%, 64.7%), hypoglossal (41.5%, 91.1%) and accessory nerve (46.3%, 79.3%). Relation between diffi culty in speech and disease type was also examined. That is, its degree was classified into 4 steps as severe, moderate, slight and non disorder. The result was that only 4 cases (9.8%) in spastic type showed speech dysfunction in daily life (it belongs to severe and moderate group), but athetotic type showed much higher percentage 30 cases (88.2%), and speech dysfunction was mainly due to facial and hypoglossal paralysis.
