Hypoglossal nerve injury as a complication of anterior surgery to the upper cervical spine
- PMID: 10190859
- PMCID: PMC3611125
- DOI: 10.1007/s005860050131
Hypoglossal nerve injury as a complication of anterior surgery to the upper cervical spine
Abstract
Injury to the hypoglossal nerve is a recognised complication after soft tissue surgery in the upper part of the anterior aspect of the neck, e.g. branchial cyst or carotid body tumour excision. However, this complication has been rarely reported following surgery of the upper cervical spine. We report the case of a 35-year-old woman with tuberculosis of C2-3. She underwent corpectomy and fusion from C2 to C5 using iliac crest bone graft, through a left anterior oblique incision. She developed hypoglossal nerve palsy in the immediate postoperative period, with dysphagia and dysarthria. It was thought to be due to traction neurapraxia with possible spontaneous recovery. At 18 months' follow-up, she had a solid fusion and tuberculosis was controlled. The hypoglossal palsy persisted, although with minimal functional disability. The only other reported case of hypoglossal lesion after anterior cervical spine surgery in the literature also failed to recover. It is concluded that hypoglossal nerve palsy following anterior cervical spine surgery is unlikely to recover spontaneously and it should be carefully identified.
Similar articles
-
Hypoglossal Nerve Palsy After Anterior Cervical Spine Surgery: A Case Report and Literature Review.JBJS Case Connect. 2020 Apr-Jun;10(2):e0098. doi: 10.2106/JBJS.CC.19.00098. JBJS Case Connect. 2020. PMID: 32649097 Review.
-
Irreversible Hypoglossal Nerve Injury and Concomitant Trigeminal System Dysfunction After Anterior Surgery to the Cervical Spine: Case Report and Literature Review.World Neurosurg. 2020 Apr;136:187-192. doi: 10.1016/j.wneu.2019.12.094. Epub 2020 Jan 9. World Neurosurg. 2020. PMID: 31926360 Review.
-
[A case of cervical vagus neurinoma with hypoglossal palsy].No To Shinkei. 1993 Jun;45(6):567-70. No To Shinkei. 1993. PMID: 8363853 Review. Japanese.
-
Hypoglossal nerve paresis secondary to anterior approach of upper cervical spine followed by spontaneous recovery.J Spine Surg. 2017 Sep;3(3):481-483. doi: 10.21037/jss.2017.06.19. J Spine Surg. 2017. PMID: 29057361 Free PMC article.
-
Diagnosing Tapia syndrome using a videofluoroscopic swallowing study and electromyography after anterior cervical spine surgery.Am J Phys Med Rehabil. 2011 Nov;90(11):948-53. doi: 10.1097/PHM.0b013e31823286e0. Am J Phys Med Rehabil. 2011. PMID: 21955952
Cited by
-
Stabilizing the unstable: Tuberculosis of the odontoid process with atlanto-occipital instability-Case report and review of literature.Clin Case Rep. 2023 Dec 28;12(1):e8379. doi: 10.1002/ccr3.8379. eCollection 2024 Jan. Clin Case Rep. 2023. PMID: 38161635 Free PMC article.
-
What Type of Incision for Anterior Cervical Spine Surgery Involving Long Segments Can Bring Better Cosmetic and Functional Outcomes?Neurospine. 2022 Jun;19(2):412-421. doi: 10.14245/ns.2143260.630. Epub 2022 May 13. Neurospine. 2022. PMID: 35577336 Free PMC article.
-
Anatomic and radiologic relationships of neck structures to cervical spine: implications for anterior surgical approaches.Acta Otorhinolaryngol Ital. 2020 Aug;40(4):248-253. doi: 10.14639/0392-100X-N0503. Acta Otorhinolaryngol Ital. 2020. PMID: 33100335 Free PMC article.
-
Complications of anterior cervical spine surgery: a systematic review of the literature.J Spine Surg. 2020 Mar;6(1):302-322. doi: 10.21037/jss.2020.01.14. J Spine Surg. 2020. PMID: 32309668 Free PMC article. Review.
-
Upper cervical anterior fusion with a particular focus on superior laryngeal nerve and hypoglossal nerve.Spine Surg Relat Res. 2018 Feb 28;2(2):121-126. doi: 10.22603/ssrr.2017-0064. eCollection 2018. Spine Surg Relat Res. 2018. PMID: 31440657 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous