Journal of Korean Neurosurgical Society

  • 제54권5호
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  • Pages.423-425
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  • 2013
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Tapia's Syndrome after Posterior Cervical Spine Surgery under General Anesthesia

  • Park, Chang Kyu (Department of Neurosurgery, The Leon Wiltse Memorial Hospital) ;
  • Lee, Dong Chan (Department of Neurosurgery, The Leon Wiltse Memorial Hospital) ;
  • Park, Chan Joo (Department of Biology, University of California at San Diego) ;
  • Hwang, Jang Hoe (Department of Neurosurgery, The Leon Wiltse Memorial Hospital)
  • 투고 : 2013.03.25
  • 심사 : 2013.11.07
  • 발행 : 2013.11.28
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초록

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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참고문헌

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  9. Tapia AG : Un nouveau syndrome. Quelques cas d'hemiplegie et de la langue avec ou sans paralysie du sterno-cleido-mastoiden et du trapeze. Arch Int Laryng Otol Rhinol 22 : 780-785, 1906
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피인용 문헌

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  2. Isolated bilateral Tapia’s syndrome after liver transplantation: A case report and review of the literature vol.8, pp.36, 2013, https://doi.org/10.4254/wjh.v8.i36.1637
  3. Tapia’s syndrome: pathogenetic mechanisms, diagnostic management, and proper treatment: a case series vol.10, pp.1, 2016, https://doi.org/10.1186/s13256-016-0802-1
  4. Hypoglossal Nerve Palsy After Cervical Spine Surgery vol.7, pp.1, 2013, https://doi.org/10.1177/2192568216687307
  5. A case report of Tapia's syndrome after mastectomy and breast reconstruction under general anesthesia vol.97, pp.22, 2018, https://doi.org/10.1097/md.0000000000010980
  6. A case of combined cranial nerve palsy after general anesthesia vol.4, pp.1, 2018, https://doi.org/10.1186/s40981-018-0211-0
  7. Bilateral vocal cord palsy after a posterior cervical laminoplasty vol.27, pp.suppl3, 2018, https://doi.org/10.1007/s00586-018-5649-2
  8. Hypoglossal Nerve Palsy as a Cause of Severe Dysphagia along with the Oropharyngeal Stenosis due to Occipitocervical Kyphosis vol.2019, pp.None, 2013, https://doi.org/10.1155/2019/7982847
  9. Tongue Tied after Shoulder Surgery: A Case Series and Literature Review vol.2019, pp.None, 2013, https://doi.org/10.1155/2019/5392847
  10. Tapia syndrome: an unusual complication following posterior cervical spine surgery vol.33, pp.2, 2013, https://doi.org/10.1080/02688697.2017.1318109
  11. Bilateral Hypoglossal Nerve Palsy After Occipitocervical Fusion vol.4, pp.5, 2013, https://doi.org/10.5435/jaaosglobal-d-19-00127
  12. Tapia’s syndrome as an uncommon complication after cervical spine surgery with tracheostomy: a case report and literature review vol.8, pp.5, 2013, https://doi.org/10.1007/s43390-020-00125-1
  13. Tapia Syndrome after Cervical Laminoplasty: A Case Report and Literature Review vol.7, pp.2, 2013, https://doi.org/10.21129/nerve.2021.7.2.117
  14. Le syndrome de Tapia : une entité méconnue vol.25, pp.6, 2021, https://doi.org/10.1016/j.pratan.2021.09.006
  15. Tapia's syndrome as an uncommon complication after anterior cervical disc surgery vol.27, pp.None, 2013, https://doi.org/10.1016/j.inat.2021.101354