Herath Tharuka, Lutchman Nadiene, Naidu Leena, Wimalaratna Sunil
Neurology, Kettering General Hospital, Kettering, UK
Neurology, Kettering General Hospital, Kettering, UK.
Pract Neurol. 2023 Apr;23(2):146-149. doi: 10.1136/pn-2022-003487. Epub 2022 Oct 5.
A 42-year-old man developed bilateral Tapia's syndrome (recurrent laryngeal and hypoglossal nerves paralysis) following prolonged ventilation for COVID-19 pneumonia. Examination showed global tongue atrophy and bilateral asymmetric vocal cord palsy. He improved rapidly without specific treatment, suggesting that neuropraxia was the likely mechanism of injury. Tapia's syndrome has been reported disproportionately more often in association with COVID-19, possibly from injury to hypoglossal and vagal nerves during ventilation in the prone position.
一名42岁男性在因新冠病毒肺炎接受长时间通气治疗后出现双侧塔皮亚综合征（喉返神经和舌下神经麻痹）。检查发现舌肌全面萎缩和双侧不对称声带麻痹。他未经特殊治疗迅速好转，提示神经失用可能是损伤机制。塔皮亚综合征与新冠病毒肺炎相关的报道比例过高，可能是因为俯卧位通气期间舌下神经和迷走神经受到损伤。
