[Hypoglossal nerve neuropraxia after shoulder hemiarthroplasty]. / Neuroapraxia del nervio hipogloso tras hemiartroplastia de hombro.
Rev Esp Anestesiol Reanim
; 61(5): 277-80, 2014 May.
Article
in Es
| MEDLINE
| ID: mdl-23787368
ABSTRACT
We report a case of hypoglossal nerve damage after shoulder hemiarthroplasty with the patient in "beach chair" position, performed with general anesthesia with orotracheal intubation, and without complications. An ultrasound-guided interscalene block was previously performed in an alert patient. After the intervention, the patient showed clinical symptomatology compatible with paralysis of the right hypoglossal nerve that completely disappeared after 4 weeks. Mechanisms such as hyperextension of the neck during intubation, endotracheal tube cuff pressure, excessive hyperextension, or head lateralization during surgery have been described as causes of this neurological damage. We discuss the causes, the associated factors and suggest preventive measures.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Arthroplasty
/
Shoulder Joint
/
Hypoglossal Nerve Injuries
Type of study:
Etiology_studies
Limits:
Humans
/
Male
/
Middle aged
Language:
Es
Journal:
Rev Esp Anestesiol Reanim
Year:
2014
Document type:
Article