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Tapia's syndrome as an uncommon complication after cervical spine surgery with tracheostomy: a case report and literature review.
Spine Deform. 2020 10; 8(5):1135-1137.SD

Abstract

PURPOSE

The aim of the present work is to present a rare case of Tapia's syndrome (hypoglossal and recurrent laryngeal nerve apraxia) following cervical spine surgery with tracheostomy.

METHODS

Clinical data were collected from patient's medical records.

RESULTS

After uneventful cervical spine surgery with tracheostomy, the patient reported mild dysphagia and dysphonia. Clinical examination and electromyography confirmed unilateral hypoglossal and recurrent laryngeal disfunction, contralateral to surgical access. Neural damage was transitory and full functional recovery was achieved within 12 months.

CONCLUSION

Tapia's syndrome can be a rare complication of cervical spine surgery with tracheostomy, due to multiple factors, including tracheostomy cuffed cannula and cervical spine position during surgery.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Mega C
Anesthesia, Intensive Care and Pain Therapy, IRCCS Istituto Ortopedico Rizzoli, Via G.C. Pupilli, 40136, Bologna, BO, Italy. Alma Mater Università di Bologna, Dipartimento di Scienze Mediche e Chirurgiche-DIMEC, Via Albertoni 11, 140138, Bologna, BO, Italy.
Ricci A
Anesthesia, Intensive Care and Pain Therapy, IRCCS Istituto Ortopedico Rizzoli, Via G.C. Pupilli, 40136, Bologna, BO, Italy.
Giannone S
Anesthesia, Intensive Care and Pain Therapy, IRCCS Istituto Ortopedico Rizzoli, Via G.C. Pupilli, 40136, Bologna, BO, Italy. sandra.giannone@gmail.com.
Facchini F
Anesthesia, Intensive Care and Pain Therapy, IRCCS Istituto Ortopedico Rizzoli, Via G.C. Pupilli, 40136, Bologna, BO, Italy.
Gasbarrini A
Department of Oncologic and Degenerative Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

MeSH

ApraxiasCervical VertebraeCranial Nerve DiseasesDiskectomyFemaleHumansHypoglossal Nerve DiseasesMiddle AgedPostoperative ComplicationsRecurrent Laryngeal NerveSyndromeTracheostomy

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

32350759

Citation

Mega, Chiara, et al. "Tapia's Syndrome as an Uncommon Complication After Cervical Spine Surgery With Tracheostomy: a Case Report and Literature Review." Spine Deformity, vol. 8, no. 5, 2020, pp. 1135-1137.
Mega C, Ricci A, Giannone S, et al. Tapia's syndrome as an uncommon complication after cervical spine surgery with tracheostomy: a case report and literature review. Spine Deform. 2020;8(5):1135-1137.
Mega, C., Ricci, A., Giannone, S., Facchini, F., & Gasbarrini, A. (2020). Tapia's syndrome as an uncommon complication after cervical spine surgery with tracheostomy: a case report and literature review. Spine Deformity, 8(5), 1135-1137. https://doi.org/10.1007/s43390-020-00125-1
Mega C, et al. Tapia's Syndrome as an Uncommon Complication After Cervical Spine Surgery With Tracheostomy: a Case Report and Literature Review. Spine Deform. 2020;8(5):1135-1137. PubMed PMID: 32350759.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tapia's syndrome as an uncommon complication after cervical spine surgery with tracheostomy: a case report and literature review. AU - Mega,Chiara, AU - Ricci,Alessandro, AU - Giannone,Sandra, AU - Facchini,Fabio, AU - Gasbarrini,Alessandro, Y1 - 2020/04/29/ PY - 2020/02/19/received PY - 2020/04/16/accepted PY - 2020/5/1/pubmed PY - 2020/11/20/medline PY - 2020/5/1/entrez KW - Cervical spine surgery KW - Hypoglossal nerve diseases KW - Postoperative complications KW - Tapia syndrome KW - Tracheostomy SP - 1135 EP - 1137 JF - Spine deformity JO - Spine Deform VL - 8 IS - 5 N2 - PURPOSE: The aim of the present work is to present a rare case of Tapia's syndrome (hypoglossal and recurrent laryngeal nerve apraxia) following cervical spine surgery with tracheostomy. METHODS: Clinical data were collected from patient's medical records. RESULTS: After uneventful cervical spine surgery with tracheostomy, the patient reported mild dysphagia and dysphonia. Clinical examination and electromyography confirmed unilateral hypoglossal and recurrent laryngeal disfunction, contralateral to surgical access. Neural damage was transitory and full functional recovery was achieved within 12 months. CONCLUSION: Tapia's syndrome can be a rare complication of cervical spine surgery with tracheostomy, due to multiple factors, including tracheostomy cuffed cannula and cervical spine position during surgery. SN - 2212-1358 UR - https://www.unboundmedicine.com/medline/citation/32350759/Tapia's_syndrome_as_an_uncommon_complication_after_cervical_spine_surgery_with_tracheostomy:_a_case_report_and_literature_review_ DB - PRIME DP - Unbound Medicine ER -