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KMID : 0361020130560080535
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Korean Journal of Otolaryngology - Head and Neck Surgery
2013 Volume.56 No. 8 p.535 ~ p.537
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A Case of Bilateral Peripheral Tapia’s Syndrome Subsequent to Coronary Artery Bypass Graft
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Kim Seung-Woo
Kim Min-Suk
Choi Jeon-Ha
Kim Choon-Dong
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Abstract
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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 any 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.
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KEYWORD
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Bilateral, CABG, Orotracheal intubation, Tapia’s syndrome
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