Tapia's syndrome in post-operative patient following orotracheal intubation.
| Autor: | Neupane SK; Department of Medicine, Shadhak Polyclinic, Bhaktapur, Nepal., Poudel Jaishi P; Department of Medicine, Bhakunde Hospital, Kavrepalanchowk, Nepal., Acharya A; Department of Medicine, Iwamura Memorial Hospital, Nepal., Neupane PK; Internship at Department of Medicine, Kist Medical College, Kathmandu, Nepal., Koirala D; Department of Medicine, Danphe Health Care, Nepal., Joshi K; Department of Medicine,Moonlight Polyclinic Private Limited, Siddhipur, Nepal. |
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| Jazyk: | angličtina |
| Zdroj: | Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2022 Jun 23; Vol. 79, pp. 104043. Date of Electronic Publication: 2022 Jun 23 (Print Publication: 2022). |
| DOI: | 10.1016/j.amsu.2022.104043 |
| Abstrakt: | Introduction: Tapia's syndrome is a rare condition that manifest due to unilateral extracranial nerve extension of cranial nerve 10 and 12 which occurred as a rare complication of Orotracheal Intubation in patient undergoing Laparoscopic appendectomy. Case Presentation: A 30 year old male, a known case of normal variant Right bundle branch block and Gilbert syndrome underwent orotracheal intubation prior to general anesthesia for emergency laparoscopic appendectomy. Postoperatively while assessing the patient there was deviation of tongue on left side. Clinical Findings and Investigations: On examination of throat, atrophic and deviated uvula toward the right side was found. While protruding his tongue, tongue was deviated towards left side.Neurological examination revealed sluggish Gag Reflex. Brain Ct was done, which showed normal scan. Interventions and Outcome: Tablet Prednisolone and logopedic therapy in combination helped in early recovery; which is almost 8 weeks. Patient was completely recovered in 2 month with gradual improvement of phonation, tongue tone and mobility. Relevance and Impact: The intent of this report is to show how important it is for anesthesia providers and surgeons to understand Tapia's syndrome, its causes, and the fact that it can occur despite seemingly normal airway care and neck posture. We believe that by raising awareness of this uncommon issue, practitioners will be able to early identify this complication. Competing Interests: There is no any conflicts of interest with this article. (© 2022 The Authors.) |
| Databáze: | MEDLINE |
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