Soonchunhyang Med Sci.  2017 Jun;23(1):42-45. 10.0000/sms.2017.23.1.42.

Isolated Unilateral Hypoglossal Nerve Palsy Following Transoral Endotracheal Intubation for Endoscopic Sinus Surgery

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. drcyh79@schmc.ac.kr

Abstract

Hypoglossal nerve palsy is a rare complication of endotracheal intubation. The mechanism of nerve palsy is mainly attributed to stretching or compression of the nerve during airway manipulation. The cuff pressure can also contribute to the occurrence of hypoglossal nerve palsy. Since it is often accompanied by other cranial nerve palsies, meticulous overall cranial nerve examination is necessary. The main treatment is supportive with respiratory monitoring. The prognosis is favorable. Majority of patients achieve nearly full recovery of nerve function. Here, we report a case of unilateral hypoglossal nerve palsy following usual, uneventful endotracheal intubation and review the literature.

Keyword

Anesthesia; Hypoglossal nerve; Intraoperative complications; Intubation; Paralysis

MeSH Terms

Anesthesia
Cranial Nerve Diseases
Cranial Nerves
Humans
Hypoglossal Nerve Diseases*
Hypoglossal Nerve*
Intraoperative Complications
Intubation
Intubation, Intratracheal*
Paralysis
Prognosis
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