• Acta Anaesthesiol Scand · Jan 2005

    Case Reports

    Isolated bilateral paralysis of the hypoglossal and recurrent laryngeal nerves (Bilateral Tapia's syndrome) after transoral intubation for general anesthesia.

    • S O Cinar, H Seven, U Cinar, and S Turgut.
    • Department of Anesthesiology, Sisli Etfal Teaching and Research Hospital, Istanbul, Turkey.
    • Acta Anaesthesiol Scand. 2005 Jan 1;49(1):98-9.

    AbstractTapia's syndrome is due to extracranial involvement of the hypoglossal nerve and the recurrent laryngeal branch of the vagal nerve. The injury of these nerves is a rare complication of anesthetic airway management. We present a patient with a postoperative bilateral hypoglossal and recurrent laryngeal nerves palsy after uncomplicated orotracheal intubation. Corticosteroid therapy was started after diagnosis. Forty-eight hours later, the movements of the vocal cords started to recover and full recovery was achieved by the fourth day. Within 3 days, tongue mobility was gradually improved and the patient's symptoms resolved completely by 4 weeks.

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