Paresia transitória unilateral combinada do nervo hipoglosso e do nervo lingual após intubação para anestesia

Hulya Ulusoy; Ahmet Besir; Bahanur Cekic; Muge Kosucu; Sukran Geze

doi:10.1016/j.bjan.2012.12.003

Clinical Information

Paresia transitória unilateral combinada do nervo hipoglosso e do nervo lingual após intubação para anestesia

Transient unilateral combined paresis of the hypoglossal nerve and lingual nerve following intubation anesthesia

Hulya Ulusoy; Ahmet Besir; Bahanur Cekic; Muge Kosucu; Sukran Geze

http://dx.doi.org/10.1016/j.bjan.2012.12.003 Braz J Anesthesiol, vol.64, n2, p.124-127, 2014

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Resumo

Lesões de nervos podem ocorrer na região faringolaríngea durante a anestesia geral. Os nervos mais comumente lesionados são o hipoglosso, lingual e laríngeo recorrente. As lesões podem surgir em decorrência de vários fatores, como, por exemplo, durante a laringoscopia, intubação endotraqueal e inserção de tubo e por pressão do balão, ventilação com máscara, manobra aérea tripla, via aérea orofaríngea, modo de inserção do tubo, posição da cabeça e do pescoço e aspiração. As lesões nervosas nessa região podem acometer um único nervo isolado ou causar a paralisia de dois nervos em conjunto, como a do nervo laríngeo recorrente e hipoglosso (síndrome de Tapia). No entanto, a lesão combinada dos nervos lingual e hipoglosso após intubação para anestesia é uma condição muito mais rara. O risco dessa lesão pode ser reduzido por meio de medidas preventivas. Descrevemos um caso de paresia unilateral combinada dos nervos hipoglosso e lingual após intubação para anestesia.

Palavras-chave

Paralisia do nervo hipoglosso, Paralisia lingual, Intubação para anestesia

Abstract

Nerve damage may occur in the pharyngolaryngeal region during general anesthesia. The most frequently injured nerves are the hypoglossal, lingual and recurrent laryngeal. These injuries may arise in association with several factors, such as laryngoscopy, endotracheal intubation and tube insertion, cuff pressure, mask ventilation, the triple airway maneuver, the oropharyngeal airway, manner of intubation tube insertion, head and neck position and aspiration. Nerve injuries in this region may take the form of an isolated single nerve or of paresis of two nerves together in the form of hypoglossal and recurrent laryngeal nerve palsy (Tapia's syndrome). However, combined injury of the lingual and hypoglossal nerves following intubation anesthesia is a much rarer condition. The risk of this damage can be reduced with precautionary measures. We describe a case of combined unilateral nervus hypoglossus and nervus lingualis paresis developing after intubation anesthesia.

Keywords

Hypoglossal paralysis, Lingual paralysis, Intubation anesthesia

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Paresia transitória unilateral combinada do nervo hipoglosso e do nervo lingual após intubação para anestesia

Transient unilateral combined paresis of the hypoglossal nerve and lingual nerve following intubation anesthesia

Hulya Ulusoy; Ahmet Besir; Bahanur Cekic; Muge Kosucu; Sukran Geze

Resumo

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