Iatrogenic bilateral hypoglossal palsy following spinal surgery

Panikkar, Shrijit; Tol, Govind; Siddique, Irfan

doi:10.1007/s00586-017-5214-4

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…These symptoms may be observed for a long time after surgery and may even negatively impact the patients' quality of life [2,4]. Moreover, some serious complications, such as bilateral hypoglossal palsy [5], cervical artery dissection [6], and tetraplegia [7] caused by neck hyperextension secondary to intubation or dental or thyroid surgery procedures, have been reported in the literature. The degree of neck extension and risk factors such as advanced age and the presence of spondylosis and/or spinal stenosis are considered by clinicians before medical procedures requiring prolonged neck hyperextension [1,8,9].…”

Section: Introductionmentioning

confidence: 99%

The effects of cervical kinesiotaping on neck pain, range of motion, and disability in patients following thyroidectomy: a randomized, double-blind, sham-controlled clinical trial

Genç¹,

Çelik²,

Genç³

et al. 2019

Turk J Med Sci

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Background/aim: This was a randomized, double-blind, sham-controlled study. Thyroidectomy is a frequently performed surgical procedure and head and neck extension during this operation facilitates surgery. Patients may experience postoperative neck pain and cervical range of motion (ROM) limitation due to the surgical position following thyroidectomy. It was aimed herein to investigate the short-term effects of kinesiotaping (KT) applied to the cervical spine on neck pain, ROM, and disability in patients following thyroidectomy. Materials and methods: A total of 74 patients were randomly assigned to be treated with either KT (Group 1, n = 37) or sham taping (Group 2, n = 37) using a computer-generated random number list. Neck pain, cervical ROM, and neck disability were evaluated with a visual analog scale (VAS), inclinometer, and the Neck Disability Index (NDI) questionnaire, respectively. Results: There were no significant differences with respect to age, sex, educational background, or body mass index between the groups. While there were no significant differences with respect to improvement of the VAS and change of the ROM and NDI values between the groups, patients in Group 1 needed less paracetamol than patients in Group 2 (P = 0.011). Conclusion: This study showed that cervical KT application following thyroidectomy does not have a positive effect on neck pain, ROM, or disability, but nonetheless, it reduces analgesic consumption.

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Section: Introductionmentioning

confidence: 99%

The effects of cervical kinesiotaping on neck pain, range of motion, and disability in patients following thyroidectomy: a randomized, double-blind, sham-controlled clinical trial

Genç¹,

Çelik²,

Genç³

et al. 2019

Turk J Med Sci

View full text Add to dashboard Cite

show abstract

“…Hyperextension is also thought to be a potential risk factor because it may result in stretching of the nerve as it courses along the lateral aspect of the transverse process of the atlas. 15 This hyperextension may occur because of the positioning or during intubation. Because the duration of surgery has a direct relationship with the length of compression, this is thought to contribute to worsening injury.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Hypoglossal Nerve Palsy After Occipitocervical Fusion

Gannon

Cornett

2020

JAAOS Glob Res Rev

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A 63-year-old man sustained a Jefferson fracture and was treated nonoperatively by a separate treating surgeon. Because of the symptomatic malalignment and nonunion after 6 months of nonsurgical management, the patient was seen for a second opinion. Occiput to C3 arthrodesis was performed. Postoperatively, the patient was diagnosed with a bilateral hypoglossal nerve palsy. Hypoglossal nerve injuries after cervical spine fractures and posterior cervical procedures are a very rare occurrence. This is the first case report of a bilateral hypoglossal nerve palsy following occipitocervical arthrodesis.

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Iatrogenic bilateral hypoglossal palsy following spinal surgery

Abstract: We aim to create awareness about this complication which has a significant morbidity and negative effect on patient outcomes.

Cited by 2 publications

References 11 publications

The effects of cervical kinesiotaping on neck pain, range of motion, and disability in patients following thyroidectomy: a randomized, double-blind, sham-controlled clinical trial

The effects of cervical kinesiotaping on neck pain, range of motion, and disability in patients following thyroidectomy: a randomized, double-blind, sham-controlled clinical trial

Bilateral Hypoglossal Nerve Palsy After Occipitocervical Fusion

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