Unilateral hypoglossal nerve palsy after endotracheal intubation for general anesthesia in a difficult airway patient: A case report
Anesthesia and Pain Medicine
;
: 220-223, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-52550
ABSTRACT
Hypoglossal nerve palsy after general anesthesia is an exceptionally rare complication, which has varied etiology. We present a case of unilateral hypoglossal nerve palsy resulting from repeated airway intervention for general anesthesia. A 57-year-old woman was scheduled to undergo modified radical mastectomy. During endotracheal intubation, the patient had Cormack's grade III-a severe airway condition. After the first intubation attempt failed, the intubation was attempted a second time using a stylet inside the endotracheal tube with cricoid pressure; this attempt was successful. In the evening of the operation day, the patient complained of dysarthria and dysphagia. Physical examination revealed deviation of the tongue to the right, which may have been caused by traumatic hypoglossal nerve injury. This case reviews the pathophysiology, prevention, and management of hypoglossal nerve palsy.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Paralisia
/
Exame Físico
/
Língua
/
Mastectomia Radical Modificada
/
Transtornos de Deglutição
/
Doenças do Nervo Hipoglosso
/
Disartria
/
Traumatismos do Nervo Hipoglosso
/
Nervo Hipoglosso
/
Intubação
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2016
Tipo de documento:
Artigo
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