Simon Chad Z, Du Jerry Y, Parel Philip, Adida Samuel, Miller Payton M, Qureshi Sheeraz
Hospital for Special Surgery, New York City, New York.
Division of General Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
JBJS Case Connect. 2024 Feb 10;14(1). doi: 10.2106/JBJS.CC.23.00372. eCollection 2024 Jan 1.
A 69-year-old man underwent a C3-4 anterior cervical discectomy and fusion and developed postoperative hypoglossal and glossopharyngeal palsies that resolved with symptomatic treatment.
Cranial nerve palsy is a rare and possibly under-reported injury after higher-level cervical spine surgery. Conscientious positioning and awareness of these nerves during surgical exposure are crucial to minimizing cranial nerve palsies. Proper workup to identify these palsies and differentiate them from other complications is necessary to guide proper treatment.
一名69岁男性接受了C3 - 4颈椎前路椎间盘切除融合术，术后出现舌下神经和舌咽神经麻痹，经对症治疗后症状缓解。
颅神经麻痹是高位颈椎手术后一种罕见且可能报道不足的损伤。手术暴露过程中认真做好神经定位并注意这些神经对于将颅神经麻痹的发生几率降至最低至关重要。进行适当的检查以识别这些麻痹并将其与其他并发症区分开来对于指导正确治疗很有必要。
