Hypoglossal nerve paresis secondary to anterior approach of upper cervical spine followed by spontaneous recovery
| Autor: | Lain Hermes González Quarante, Oscar Lucas Gil de Sagredo del Corral, Antonio José Vargas López, Carlos Fernández Carballal, Antonio Montalvo Afonso |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
040301 veterinary sciences medicine.medical_treatment complication Case Report Physical examination anterior approach 0403 veterinary science 03 medical and health sciences Spine surgery 0302 clinical medicine Tongue medicine Orthopedics and Sports Medicine Corpectomy hypoglossal nerve injury Paresis Neck pain medicine.diagnostic_test business.industry 04 agricultural and veterinary sciences Dysphagia Surgery Retractor medicine.anatomical_structure upper cervical spine medicine.symptom business Hypoglossal nerve 030217 neurology & neurosurgery |
| Zdroj: | Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid Consejería de Sanidad de la Comunidad de Madrid |
| ISSN: | 2414-4630 2414-469X |
| DOI: | 10.21037/jss.2017.06.19 |
| Popis: | We describe an exceptional complication of cervical spine surgery in a 63-year-old male. He suffered the impact of a beam to the top of his head. During evaluation in the emergency room he reported intense neck pain with no other neurological symptoms or findings on physical examination. Spine computed tomography (CT) showed C3 vertebral body fracture that required surgical stabilization. A right side anterior approach to upper cervical spine with C3 corpectomy and placement of iliac bone autograft was performed. After surgery the patient presented dysphagia, dysarthria and limitation tongue mobility to the right side. These findings were consistent with hypoglossal neuropraxia probably related to soft tissue traction generated by the upper part of the self-retaining retractor. After discharge the patient experienced spontaneous improvement of hypoglossal paresis. |
| Databáze: | OpenAIRE |
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