Tapia's Syndrome: A Comprehensive Analysis of a Rare Intensive Care-Associated Complication

Tapia's syndrome is a rare complication of airway manipulation, involving the simultaneous paralysis of the hypoglossal nerve and the recurrent laryngeal nerve. The etiological mechanism is commonly attributed to compression or stretching during airway manipulation. An efficient recognition of...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-02, Vol.16 (2), p.e53486
Main Authors: Piteira, Rita, Marques, Diogo, Carrega, Filipa, Silvério, Rita, Fera, Manuela
Format: Article
Language:English
Subjects:
Case reports
Convulsions & seizures
Dysphagia
Extubation
Iatrogenesis
Intensive care
Internal Medicine
Intubation
Magnetic resonance imaging
Motility
Mouth
Neck
Neurology
Ostomy
Otolaryngology
Rehabilitation
Steroids
Tomography
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Summary:Tapia's syndrome is a rare complication of airway manipulation, involving the simultaneous paralysis of the hypoglossal nerve and the recurrent laryngeal nerve. The etiological mechanism is commonly attributed to compression or stretching during airway manipulation. An efficient recognition of this condition is pivotal for a comprehensive multidisciplinary approach and optimized recovery time. The presence of persistent dysphagia and dysphonia, coupled with observable deviation or restriction of tongue movement, not only after oral endotracheal intubation for surgical interventions with general anesthesia but also after a prolonged orotracheal intubation period in the intensive care, should heighten the suspicion of this syndrome. This report details a case of Tapia's syndrome emerging as a complication of airway manipulation and prolonged intubation in the intensive care unit.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.53486