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Hypoglossal nerve palsy after airway management for general anesthesia: an analysis of 69 patients.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Shah, Aalap C. Barnes, Christopher Spiekerman, Charles F. Bollag, Laurent A.
Description	Author Affiliation: Shah AC ( From the *Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington)
Abstract	Isolated hypoglossal nerve palsy (HNP), or neurapraxia, a rare postoperative complication after airway management, causes ipsilateral tongue deviation, dysarthria, and dysphagia. We reviewed the pathophysiological causes of hypoglossal nerve injury and discuss the associated clinical and procedural characteristics of affected patients. Furthermore, we identified procedural factors potentially affecting HNP recovery duration and propose several measures that may reduce the risk of HNP. While HNP can occur after a variety of surgeries, most cases in the literature were reported after orthopedic and otolaryngology operations, typically in males. The diagnosis is frequently missed by the anesthesia care team in the recovery room due to the delayed symptomatic onset and often requires neurology and otolaryngology evaluations to exclude serious etiologies. Signs and symptoms are self-limited, with resolution occurring within 2 months in 50% of patients, and 80% resolving within 4 months. Currently, there are no specific preventive or therapeutic recommendations. We found 69 cases of HNP after procedural airway management reported in the literature from 1926 to 2013.
File Format	HTM / HTML
ISSN	00032999
e-ISSN	15267598
DOI	10.1213/ANE.0000000000000495
Journal	Anesthesia & Analgesia
Issue Number	1
Volume Number	120
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2015-01-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Anesthesiology Airway Management Adverse Effects Anesthesia, General Hypoglossal Nerve Diseases Etiology Hypoglossal Nerve Injuries Adolescent Child, Preschool Epidemiology Therapy Infant Paralysis Meta-analysis Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Anesthesiology and Pain Medicine

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