Anesth Pain Med.  2016 Jul;11(3):322-325. 10.17085/apm.2016.11.3.322.

Cranial nerve XII (hypoglossal nerve) palsy after arthroscopic shoulder surgery under general anesthesia combined with sono-guided interscalene brachial plexus block: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, St' Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. jhjs0806@catholic.ac.kr
  • 2Department of Anesthesiology and Pain Medicine, Daejeon St' Mary Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea.

Abstract

Neurologic complications after shoulder surgery may result from surgical procedures or anesthesia. Hypoglossal nerve is a pure motor nerve that supplies mylohyoid and hyoglossus muscles. Isolated hypoglossal nerve injury may be caused by direct trauma, head malposition (hyperextension or hyperflexion), and indirect compression or traction during intubation. We report a case of left hypoglossal nerve palsy after arthroscopic left shoulder surgery in the beach chair position under general anesthesia combined with brachial plexus block.

Keyword

Arthroscopic shoulder surgery; Beach chair position; Hypoglossal nerve palsy

MeSH Terms

Anesthesia
Anesthesia, General*
Brachial Plexus Block*
Brachial Plexus*
Cranial Nerves*
Craniocerebral Trauma
Equipment and Supplies
Hypoglossal Nerve Diseases
Hypoglossal Nerve Injuries
Hypoglossal Nerve*
Intubation
Muscles
Paralysis*
Shoulder*
Traction
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