Publication:
Tapia's syndrome: pathogenetic mechanisms, diagnostic management, and proper treatment: a case series.

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Date

2016-01-25

Authors

Cariati, Paolo
Cabello, Almudena
Galvez, Pablo P
Sanchez Lopez, Dario
Garcia Medina, Blas

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BioMed Central
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Abstract

BACKGROUND Tapia's syndrome is an uncommon disease described in 1904 by Antonio Garcia Tapia, a Spanish otolaryngologist. It is characterized by concomitant paralysis of the hypoglossal (XIIth) and pneumogastric (Xth) nerves. Only 69 cases have been described in the literature. Typically, the reported patients presented with a history of orotracheal intubation. Common symptoms are dysphonia, tongue deviation toward the affected side, lingual motility disturbance, and swallowing difficulty. CASE PRESENTATION In the report, we describe three cases of Tapia's syndrome in three Caucasian patients who underwent surgery with general anesthesia. Two of these patients underwent neck abscess drainage, and the third had an open reduction of a shoulder fracture. The clinical symptoms of Tapia's syndrome appeared after extubation. All three of our patients recovered their lost function at 3 months after diagnosis. CONCLUSIONS We underline the importance of performing airway endoscopy and a specific program of swallowing rehabilitation for the proper management of Tapia's syndrome.

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MeSH Terms

Medical Subject Headings::Diseases::Bacterial Infections and Mycoses::Infection::Suppuration::Abscess
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Anesthesia and Analgesia::Anesthesia::Anesthesia, General
Medical Subject Headings::Phenomena and Processes::Digestive System and Oral Physiological Phenomena::Digestive System Physiological Phenomena::Digestive System Processes::Deglutition
Medical Subject Headings::Diseases::Otorhinolaryngologic Diseases::Pharyngeal Diseases::Deglutition Disorders
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Drainage
Medical Subject Headings::Diseases::Otorhinolaryngologic Diseases::Laryngeal Diseases::Voice Disorders::Dysphonia
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Surgical::Endoscopy
Medical Subject Headings::Diseases::Otorhinolaryngologic Diseases::Laryngeal Diseases::Voice Disorders::Hoarseness
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Diseases::Nervous System Diseases::Cranial Nerve Diseases::Hypoglossal Nerve Diseases
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Intubation
Medical Subject Headings::Diseases::Nervous System Diseases::Neurologic Manifestations::Paralysis
Medical Subject Headings::Diseases::Wounds and Injuries::Arm Injuries::Shoulder Fractures

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Keywords

Tapia’s syndrome, Endoscopic imagines, Orotracheal Intubation, Diagnostic fibroscopy, Proper treatment, Absceso, Anestesia general, Trastornos de deglución, Drenaje, Disfonía, Endoscopía, Ronquera, Enfermedades del nervio hipogloso, Intubación, Parálisis, Fracturas del Hombro

Citation

Cariati P, Cabello A, Galvez PP, Sanchez Lopez D, Garcia Medina B. Tapia's syndrome: pathogenetic mechanisms, diagnostic management, and proper treatment: a case series. J Med Case Rep. 2016; 10(1):23