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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Neurosurgical Society
2013
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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. |
format | Online Article Text |
id | pubmed-3873357 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | The Korean Neurosurgical Society |
record_format | MEDLINE/PubMed |
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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