Haslam Bryan, Collins Shawn
AANA J. 2013 Jun;81(3):233-6.
A case is described of postoperative right hypoglossal neurapraxia after general anesthesia and interscalene block with endotracheal intubation for left total shoulder arthroplasty. Postoperative hypoglossal neurapraxia has been reported in cases, yet it remains a rare complication of anesthesia-related interventions. In this case report, postulated causes of hypoglossal neurapraxia are presented. A review of the literature pertaining to anesthesia-related causes of hypoglossal nerve injury is included. Anesthesia providers should be aware of the course of cranial nerve XII as it relates to the position of the head and neck and use of airway instrumentation. In suspected cases of hypoglossal neurapraxia, conservative therapeutic interventions may be warranted.
本文描述了一例在全身麻醉和肌间沟阻滞下行气管插管，进行左全肩关节置换术后出现右侧舌下神经失用症的病例。术后舌下神经失用症虽有病例报道，但仍是麻醉相关干预措施中罕见的并发症。本病例报告阐述了舌下神经失用症的推测病因，并对与麻醉相关的舌下神经损伤病因的文献进行了综述。麻醉医生应了解与头颈部位置及气道器械使用相关的第十二对脑神经的走行。在疑似舌下神经失用症的病例中，可能需要采取保守治疗干预措施。
