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Tapia's syndrome: pathogenetic mechanisms, diagnostic management, and proper treatment: a case series.
J Med Case Rep. 2016 Jan 25; 10:23.JM

Abstract

BACKGROUND

Tapia's syndrome is an uncommon disease described in 1904 by Antonio Garcia Tapia, a Spanish otolaryngologist. It is characterized by concomitant paralysis of the hypoglossal (XIIth) and pneumogastric (Xth) nerves. Only 69 cases have been described in the literature. Typically, the reported patients presented with a history of orotracheal intubation. Common symptoms are dysphonia, tongue deviation toward the affected side, lingual motility disturbance, and swallowing difficulty.

CASE PRESENTATION

In the report, we describe three cases of Tapia's syndrome in three Caucasian patients who underwent surgery with general anesthesia. Two of these patients underwent neck abscess drainage, and the third had an open reduction of a shoulder fracture. The clinical symptoms of Tapia's syndrome appeared after extubation. All three of our patients recovered their lost function at 3 months after diagnosis.

CONCLUSIONS

We underline the importance of performing airway endoscopy and a specific program of swallowing rehabilitation for the proper management of Tapia's syndrome.

Authors+Show Affiliations

Maxillofacial Surgery, Hospital Universitario Virgen de las Nieves, carretera de Jaen s/n, 18013, Granada, Andalucia, Spain. paolocariati1@gmail.com.Maxillofacial Surgery, Hospital Universitario Virgen de las Nieves, carretera de Jaen s/n, 18013, Granada, Andalucia, Spain.Maxillofacial Surgery, Hospital Universitario Virgen de las Nieves, carretera de Jaen s/n, 18013, Granada, Andalucia, Spain.Maxillofacial Surgery, Hospital Universitario Virgen de las Nieves, carretera de Jaen s/n, 18013, Granada, Andalucia, Spain.Maxillofacial Surgery, Hospital Universitario Virgen de las Nieves, carretera de Jaen s/n, 18013, Granada, Andalucia, Spain.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26809980

Citation

Cariati, Paolo, et al. "Tapia's Syndrome: Pathogenetic Mechanisms, Diagnostic Management, and Proper Treatment: a Case Series." Journal of Medical Case Reports, vol. 10, 2016, p. 23.
Cariati P, Cabello A, Galvez PP, et al. Tapia's syndrome: pathogenetic mechanisms, diagnostic management, and proper treatment: a case series. J Med Case Rep. 2016;10:23.
Cariati, P., Cabello, A., Galvez, P. P., Sanchez Lopez, D., & Garcia Medina, B. (2016). Tapia's syndrome: pathogenetic mechanisms, diagnostic management, and proper treatment: a case series. Journal of Medical Case Reports, 10, 23. https://doi.org/10.1186/s13256-016-0802-1
Cariati P, et al. Tapia's Syndrome: Pathogenetic Mechanisms, Diagnostic Management, and Proper Treatment: a Case Series. J Med Case Rep. 2016 Jan 25;10:23. PubMed PMID: 26809980.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tapia's syndrome: pathogenetic mechanisms, diagnostic management, and proper treatment: a case series. AU - Cariati,Paolo, AU - Cabello,Almudena, AU - Galvez,Pablo P, AU - Sanchez Lopez,Dario, AU - Garcia Medina,Blas, Y1 - 2016/01/25/ PY - 2015/09/18/received PY - 2015/12/08/accepted PY - 2016/1/27/entrez PY - 2016/1/27/pubmed PY - 2016/10/13/medline SP - 23 EP - 23 JF - Journal of medical case reports JO - J Med Case Rep VL - 10 N2 - BACKGROUND: Tapia's syndrome is an uncommon disease described in 1904 by Antonio Garcia Tapia, a Spanish otolaryngologist. It is characterized by concomitant paralysis of the hypoglossal (XIIth) and pneumogastric (Xth) nerves. Only 69 cases have been described in the literature. Typically, the reported patients presented with a history of orotracheal intubation. Common symptoms are dysphonia, tongue deviation toward the affected side, lingual motility disturbance, and swallowing difficulty. CASE PRESENTATION: In the report, we describe three cases of Tapia's syndrome in three Caucasian patients who underwent surgery with general anesthesia. Two of these patients underwent neck abscess drainage, and the third had an open reduction of a shoulder fracture. The clinical symptoms of Tapia's syndrome appeared after extubation. All three of our patients recovered their lost function at 3 months after diagnosis. CONCLUSIONS: We underline the importance of performing airway endoscopy and a specific program of swallowing rehabilitation for the proper management of Tapia's syndrome. SN - 1752-1947 UR - https://www.unboundmedicine.com/medline/citation/26809980/Tapia's_syndrome:_pathogenetic_mechanisms_diagnostic_management_and_proper_treatment:_a_case_series_ DB - PRIME DP - Unbound Medicine ER -