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[Tapia's syndrome following transesophageal echocardiography during an open-heart operation: a case report].
Rinsho Shinkeigaku. 2017 Dec 27; 57(12):785-787.RS

Abstract

A 67-year-old man presented with hoarseness, dysarthria and deviation of the tongue to the left side the day after the open-heart operation under general anesthesia. Brain MRI demonstrated no causal lesion, and laryngoscope showed left vocal cord abductor palsy, so we diagnosed him with Tapia's syndrome (i.e., concomitant paralysis of the left recurrent and hypoglossal nerve). His neurological symptoms recovered gradually and improved completely four months after the onset. Tapia's syndrome is a rare condition caused by the extra cranial lesion of the recurrent laryngeal branch of the vagus nerve and the hypoglossal nerve, and mostly described as a complication of tracheal intubation. In this case, transesophageal echo probe has been held in the left side of the pharynx, so compression to the posterior wall of pharynx by the probe resulted in this condition, and to the best of our knowledge, this is the first report of Tapia's syndrome due to transesophageal echocardiography during an open-heart operation. This rare syndrome should be considered as a differential diagnosis of dysarthria and tongue deviation after a procedure associated with compression to the pharynx.

Authors+Show Affiliations

Department of Neurology, Kobe City Medical Center General Hospital.Department of Neurology, Kobe City Medical Center General Hospital.Cardiovascular Surgery, Kobe City Medical Center General Hospital.Anesthesiology, Kobe City Medical Center General Hospital.Department of Neurology, Kobe City Medical Center General Hospital.Department of Neurology, Kobe City Medical Center General Hospital.

Pub Type(s)

Case Reports
Journal Article

Language

jpn

PubMed ID

29187691

Citation

Fujiwara, Satoru, et al. "[Tapia's Syndrome Following Transesophageal Echocardiography During an Open-heart Operation: a Case Report]." Rinsho Shinkeigaku = Clinical Neurology, vol. 57, no. 12, 2017, pp. 785-787.
Fujiwara S, Yoshimura H, Nishiya K, et al. [Tapia's syndrome following transesophageal echocardiography during an open-heart operation: a case report]. Rinsho Shinkeigaku. 2017;57(12):785-787.
Fujiwara, S., Yoshimura, H., Nishiya, K., Oshima, K., Kawamoto, M., & Kohara, N. (2017). [Tapia's syndrome following transesophageal echocardiography during an open-heart operation: a case report]. Rinsho Shinkeigaku = Clinical Neurology, 57(12), 785-787. https://doi.org/10.5692/clinicalneurol.cn-001097
Fujiwara S, et al. [Tapia's Syndrome Following Transesophageal Echocardiography During an Open-heart Operation: a Case Report]. Rinsho Shinkeigaku. 2017 Dec 27;57(12):785-787. PubMed PMID: 29187691.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Tapia's syndrome following transesophageal echocardiography during an open-heart operation: a case report]. AU - Fujiwara,Satoru, AU - Yoshimura,Hajime, AU - Nishiya,Kenta, AU - Oshima,Keiichi, AU - Kawamoto,Michi, AU - Kohara,Nobuo, Y1 - 2017/11/28/ PY - 2017/12/1/pubmed PY - 2018/1/13/medline PY - 2017/12/1/entrez KW - Tapia’s syndrome KW - compression neuropathy KW - hypoglossal nerve palsy KW - recurrent nerve palsy KW - transesophageal echocardiography SP - 785 EP - 787 JF - Rinsho shinkeigaku = Clinical neurology JO - Rinsho Shinkeigaku VL - 57 IS - 12 N2 - A 67-year-old man presented with hoarseness, dysarthria and deviation of the tongue to the left side the day after the open-heart operation under general anesthesia. Brain MRI demonstrated no causal lesion, and laryngoscope showed left vocal cord abductor palsy, so we diagnosed him with Tapia's syndrome (i.e., concomitant paralysis of the left recurrent and hypoglossal nerve). His neurological symptoms recovered gradually and improved completely four months after the onset. Tapia's syndrome is a rare condition caused by the extra cranial lesion of the recurrent laryngeal branch of the vagus nerve and the hypoglossal nerve, and mostly described as a complication of tracheal intubation. In this case, transesophageal echo probe has been held in the left side of the pharynx, so compression to the posterior wall of pharynx by the probe resulted in this condition, and to the best of our knowledge, this is the first report of Tapia's syndrome due to transesophageal echocardiography during an open-heart operation. This rare syndrome should be considered as a differential diagnosis of dysarthria and tongue deviation after a procedure associated with compression to the pharynx. SN - 1882-0654 UR - https://www.unboundmedicine.com/medline/citation/29187691/[Tapia's_syndrome_following_transesophageal_echocardiography_during_an_open-heart_operation:_a_case_report] L2 - https://dx.doi.org/10.5692/clinicalneurol.cn-001097 DB - PRIME DP - Unbound Medicine ER -