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Tapia's Syndrome after Posterior Cervical Spine Surgery under General Anesthesia

We present a case report to remind surgeons of this unusual complication that can occur in any surgery, even posterior cervical spine surgery under general anesthesia and discuss its causes, treatment methods, and the follow-up results in the literature. The peripheral Tapia's syndrome is a rar...

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Autores principales: Park, Chang Kyu, Lee, Dong Chan, Park, Chan Joo, Hwang, Jang Hoe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Neurosurgical Society 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3873357/
https://www.ncbi.nlm.nih.gov/pubmed/24379951
http://dx.doi.org/10.3340/jkns.2013.54.5.423
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author Park, Chang Kyu
Lee, Dong Chan
Park, Chan Joo
Hwang, Jang Hoe
author_facet Park, Chang Kyu
Lee, Dong Chan
Park, Chan Joo
Hwang, Jang Hoe
author_sort Park, Chang Kyu
collection PubMed
description We present a case report to remind surgeons of this unusual complication that can occur in any surgery, even posterior cervical spine surgery under general anesthesia and discuss its causes, treatment methods, and the follow-up results in the literature. The peripheral Tapia's syndrome is a rare complication of anesthetic airway management. Main symptoms are hoarseness of voice and difficulty of tongue movement. Tapia's syndrome after endotracheal general anesthesia is believed to be due to pressure neuropathy of the vagus nerve and the hypoglossal nerve caused by the endotracheal tube. To our knowledge, no report has been published or given an explanation for Tapia's syndrome after posterior cervical spine surgery. Two patients who underwent posterior cervical surgery complained hoarseness and tongue palsy postoperatively. There is no direct anatomical relation between the operation, the vagus nerves and the hypoglossal nerves, and there is no record of displacement or malposition of the endotracheal tube. After several months, all symptoms are resolved. To avoid this problem in posterior cervical spine surgery, we suggest paying special attention to the position of the endotracheal tube to avoid excessive neck flexion before and during the positioning of the patient.
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spelling pubmed-38733572013-12-30 Tapia's Syndrome after Posterior Cervical Spine Surgery under General Anesthesia Park, Chang Kyu Lee, Dong Chan Park, Chan Joo Hwang, Jang Hoe J Korean Neurosurg Soc Case Report We present a case report to remind surgeons of this unusual complication that can occur in any surgery, even posterior cervical spine surgery under general anesthesia and discuss its causes, treatment methods, and the follow-up results in the literature. The peripheral Tapia's syndrome is a rare complication of anesthetic airway management. Main symptoms are hoarseness of voice and difficulty of tongue movement. Tapia's syndrome after endotracheal general anesthesia is believed to be due to pressure neuropathy of the vagus nerve and the hypoglossal nerve caused by the endotracheal tube. To our knowledge, no report has been published or given an explanation for Tapia's syndrome after posterior cervical spine surgery. Two patients who underwent posterior cervical surgery complained hoarseness and tongue palsy postoperatively. There is no direct anatomical relation between the operation, the vagus nerves and the hypoglossal nerves, and there is no record of displacement or malposition of the endotracheal tube. After several months, all symptoms are resolved. To avoid this problem in posterior cervical spine surgery, we suggest paying special attention to the position of the endotracheal tube to avoid excessive neck flexion before and during the positioning of the patient. The Korean Neurosurgical Society 2013-11 2013-11-30 /pmc/articles/PMC3873357/ /pubmed/24379951 http://dx.doi.org/10.3340/jkns.2013.54.5.423 Text en Copyright © 2013 The Korean Neurosurgical Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Park, Chang Kyu
Lee, Dong Chan
Park, Chan Joo
Hwang, Jang Hoe
Tapia's Syndrome after Posterior Cervical Spine Surgery under General Anesthesia
title Tapia's Syndrome after Posterior Cervical Spine Surgery under General Anesthesia
title_full Tapia's Syndrome after Posterior Cervical Spine Surgery under General Anesthesia
title_fullStr Tapia's Syndrome after Posterior Cervical Spine Surgery under General Anesthesia
title_full_unstemmed Tapia's Syndrome after Posterior Cervical Spine Surgery under General Anesthesia
title_short Tapia's Syndrome after Posterior Cervical Spine Surgery under General Anesthesia
title_sort tapia's syndrome after posterior cervical spine surgery under general anesthesia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3873357/
https://www.ncbi.nlm.nih.gov/pubmed/24379951
http://dx.doi.org/10.3340/jkns.2013.54.5.423
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