Silva Adikarige Hd, Bishop Matthew, Krovvidi Hari, Costello Declan, Dhir Jasmeet
a Department of Neurological Surgery , Queen Elizabeth University Hospital Birmingham , Birmingham , UK.
b Department of Anaesthesiology , Queen Elizabeth University Hospital Birmingham , Birmingham , UK.
Br J Neurosurg. 2019 Apr;33(2):217-218. doi: 10.1080/02688697.2017.1318109. Epub 2017 Apr 19.
Tapia syndrome, a rare complication of posterior cervical surgery, characterised by concurrent paralyses of recurrent laryngeal branch of vagus and hypoglossal cranial nerves, occurred in a patient after posterior cervical foraminotomies for radiculopathy. We discuss hypothesised pathophysiology, and diagnostic, therapeutic and avoidance strategies in relevance to prone neurosurgical procedures.
塔皮亚综合征是颈椎后路手术的一种罕见并发症,其特征为迷走神经喉返支和舌下神经同时麻痹,一名神经根病患者在颈椎后路椎间孔切开术后出现了该综合征。我们讨论了与俯卧位神经外科手术相关的假定病理生理学、诊断、治疗及预防策略。