MULTIPLE CRANIAL NEUROPATHIES ASSOCIATED WITH LEPROSY

We report on a Samoan man with dysphagia, voice hoarseness, facial ery thema, and edema. Neurologic examination revealed hypesthesia at the s ite of the facial rash, enlarged auricular nerves, a right facial pals y, decreased gag reflexes, and voice hoarseness. Laryngoscopic examina tion showed paralysis of the left vocal cord, and a barium swallow rev ealed a possible compressive lesion. A skin biopsy specimen was diagno stic of tuberculoid leprosy. This patient has an unusual case of lepro sy with multiple cranial neuropathies.