Cargando…

Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report

INTRODUCTION: Several lesions have been described as post-intubation complications. Most frequent are injuries of the pharynx/larynx or trachea. Cranial nerve injury following routine endo-tracheal intubation appears to be rare, and most reports describe Tapia's syndrome with hypoglossus/recurr...

Descripción completa

Detalles Bibliográficos
Autores principales: Uña, Esther, Gandía, Francisco, Duque, Jose Luis
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803965/
https://www.ncbi.nlm.nih.gov/pubmed/20062625
http://dx.doi.org/10.1186/1757-1626-2-9301
_version_ 1782176113828560896
author Uña, Esther
Gandía, Francisco
Duque, Jose Luis
author_facet Uña, Esther
Gandía, Francisco
Duque, Jose Luis
author_sort Uña, Esther
collection PubMed
description INTRODUCTION: Several lesions have been described as post-intubation complications. Most frequent are injuries of the pharynx/larynx or trachea. Cranial nerve injury following routine endo-tracheal intubation appears to be rare, and most reports describe Tapia's syndrome with hypoglossus/recurrent laryngeal nerve paralysis; cases that describe only bilateral hypoglossus palsy are infrequent. The cause is attributed to neuropathy of the nerve, provoked by compression following inflation of the cuff within the larynx or damage after neck hyperextension during a difficult intubation. However, similar cases after non-traumatic intubation have not been reported. CASE PRESENTATION: We report here a case of bilateral hypoglossus palsy in a young man undergoing a diagnostic anterior mediastinotomy that was attributed to prolonged non-complicated oro-tracheal intubation. Progressive recovery of function by the patient supports neuropraxic damage as the cause. CONCLUSION: To avoid such problems, special attention should be paid to the correct positioning of the head during surgery or during rapidly performed tracheostomy if prolonged intubation is anticipated.
format Text
id pubmed-2803965
institution National Center for Biotechnology Information
language English
publishDate 2009
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-28039652010-01-10 Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report Uña, Esther Gandía, Francisco Duque, Jose Luis Cases J Case Report INTRODUCTION: Several lesions have been described as post-intubation complications. Most frequent are injuries of the pharynx/larynx or trachea. Cranial nerve injury following routine endo-tracheal intubation appears to be rare, and most reports describe Tapia's syndrome with hypoglossus/recurrent laryngeal nerve paralysis; cases that describe only bilateral hypoglossus palsy are infrequent. The cause is attributed to neuropathy of the nerve, provoked by compression following inflation of the cuff within the larynx or damage after neck hyperextension during a difficult intubation. However, similar cases after non-traumatic intubation have not been reported. CASE PRESENTATION: We report here a case of bilateral hypoglossus palsy in a young man undergoing a diagnostic anterior mediastinotomy that was attributed to prolonged non-complicated oro-tracheal intubation. Progressive recovery of function by the patient supports neuropraxic damage as the cause. CONCLUSION: To avoid such problems, special attention should be paid to the correct positioning of the head during surgery or during rapidly performed tracheostomy if prolonged intubation is anticipated. BioMed Central 2009-12-10 /pmc/articles/PMC2803965/ /pubmed/20062625 http://dx.doi.org/10.1186/1757-1626-2-9301 Text en Copyright ©2009 Uña et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Uña, Esther
Gandía, Francisco
Duque, Jose Luis
Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report
title Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report
title_full Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report
title_fullStr Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report
title_full_unstemmed Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report
title_short Tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report
title_sort tongue paralysis after orotracheal intubation in a patient with primary mediastinal tumor: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803965/
https://www.ncbi.nlm.nih.gov/pubmed/20062625
http://dx.doi.org/10.1186/1757-1626-2-9301
work_keys_str_mv AT unaesther tongueparalysisafterorotrachealintubationinapatientwithprimarymediastinaltumoracasereport
AT gandiafrancisco tongueparalysisafterorotrachealintubationinapatientwithprimarymediastinaltumoracasereport
AT duquejoseluis tongueparalysisafterorotrachealintubationinapatientwithprimarymediastinaltumoracasereport