Brotis Alexandros G, Hajiioannou Jiannis, Tzerefos Christos, Korais Christos, Dardiotis Efthymios, Fountas Kostas N, Paterakis Kostantinos
Department of Neurosurgery, University Hospital of Larissa, Larissa, Greece.
Department of Head and Neck Surgery, University Hospital of Larissa, Larissa, Greece.
Br J Neurosurg. 2023 Aug;37(4):745-749. doi: 10.1080/02688697.2019.1617408. Epub 2019 May 17.
A 24-year-old man presented with Tapia's syndrome (TS) after a traumatic cervical spine injury, manifested by apraxia of the hypoglossal and recurrent laryngeal nerves. The initial presentation was a profound inability to maintain upper respiratory airway patency due to bilateral vocal cord paralysis, accompanied by impairment of swallowing and loss of speech. The diagnosis was based on clinical grounds and verified by endoscopic laryngoscopy. A C7 corpectomy was performed for stabilizing the cervical spine, while conservative treatment with steroids was reserved for the TS. Over the following six months, there was complete resolution of the symptoms.
一名24岁男性在颈椎创伤后出现塔皮亚综合征（TS），表现为舌下神经和喉返神经失用。最初的表现是由于双侧声带麻痹导致严重无法维持上呼吸道通畅，伴有吞咽障碍和言语丧失。诊断基于临床依据，并通过喉镜检查得以证实。为稳定颈椎进行了C7椎体次全切除术，而对TS则采用类固醇保守治疗。在接下来的六个月里，症状完全消失。
