A Case of Bilateral Peripheral Tapia's Syndrome Subsequent to Coronary Artery Bypass Graft

Seung Woo Kim, Min Suk Kim, Jeon Ha Choi, Choon Dong Kim
2013 Korean Journal of Otorhinolaryngology - Head and Neck Surgery  
The Tapia's syndrome means symptom complex that result from unilateral vago-hypoglossal nerve paralysis. This syndrome is rare disease entity, bilateral attack is extremely rare. Only three cases have been reported in English literature. A-66-year-old man received the coronary artery bypass graft in our hospital. After the operation, he complained of severe dyspnea, voice change and drooling. The laryngoscopic findings showed the bilateral vocal cord palsy. He could not move the tongue toward
more » ... y directions. We diagnosed as bilateral Tapia's syndrome. Usually, unilateral Tapia's syndrome is related to the complications of anesthesia and position of the patient's head during surgery. Otherwise, our case may be associated with the complications of operation and anesthesia. The patient's recovered three months later, but the right vocal cord palsy is persistent. We report the very unique disease entity with literature review.
doi:10.3342/kjorl-hns.2013.56.8.535 fatcat:phmdkiof4jbdnhfzjaumauzxhe