Tapia Syndrome After Cervical Laminoplasty: A Case Report and Review of the Literature.
CN palsy
Laminoplasty
Tapia syndrome
Journal
World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
16
04
2020
revised:
22
05
2020
accepted:
24
05
2020
pubmed:
4
6
2020
medline:
29
12
2020
entrez:
4
6
2020
Statut:
ppublish
Résumé
Tapia syndrome is a rare complication of surgical positioning with resulting unilateral cranial nerve X and XII deficits that may provide diagnostic challenges in the perioperative period. Timely diagnosis will facilitate obtaining the necessary supportive care while preventing unnecessary workup and procedures. The following case report illustrates a patient that developed Tapia syndrome immediately after a posterior cervical laminoplasty with eventual resolution of symptoms. A review of the literature was also undertaken for comparison. Tapia syndrome can occur with a variety of surgeries, but appear to be most common in surgeries of the posterior cervical spine in the neurosurgical literature. It is theorized that flexed head position common among posterior cervical procedures makes patients more prone to Tapia syndrome in these cases. The ideal management remains poorly defined in the literature. The time course and resolution of neurologic deficits support a transient neuropraxic mechanism in most cases, though some patients do suffer permanent deficits.
Sections du résumé
BACKGROUND
Tapia syndrome is a rare complication of surgical positioning with resulting unilateral cranial nerve X and XII deficits that may provide diagnostic challenges in the perioperative period. Timely diagnosis will facilitate obtaining the necessary supportive care while preventing unnecessary workup and procedures.
CASE DESCRIPTION
The following case report illustrates a patient that developed Tapia syndrome immediately after a posterior cervical laminoplasty with eventual resolution of symptoms. A review of the literature was also undertaken for comparison.
CONCLUSIONS
Tapia syndrome can occur with a variety of surgeries, but appear to be most common in surgeries of the posterior cervical spine in the neurosurgical literature. It is theorized that flexed head position common among posterior cervical procedures makes patients more prone to Tapia syndrome in these cases. The ideal management remains poorly defined in the literature. The time course and resolution of neurologic deficits support a transient neuropraxic mechanism in most cases, though some patients do suffer permanent deficits.
Identifiants
pubmed: 32492536
pii: S1878-8750(20)31192-X
doi: 10.1016/j.wneu.2020.05.221
pii:
doi:
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
162-165Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.