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A late recognition of tapia syndrome
Author(s) -
Gevorgyan Artur,
Nedzelski Julian M.
Publication year - 2013
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.24070
Subject(s) - dysphagia , medicine , paralysis , airway , laryngeal paralysis , vocal cord paralysis , surgery , pediatrics
Tapia syndrome is characterized by concurrent paralysis of the recurrent laryngeal and hypoglossal nerves. The mechanism is associated with airway manipulation in 70% of patients and is attributed to compression or stretching of these nerves. Diagnosis is based on recognition of the concurrent paralyses and investigations to exclude central or vascular causes. Treatment is supportive, with emphasis on empiric corticosteroids and dysphagia therapy. Recovery is excellent in 30% of patients, incomplete in 39% of patients, and none in over 26% of patients. A case of a 48‐year‐old woman is described, who was diagnosed with Tapia syndrome 3 years after the suspected injury. Laryngoscope , 123:2423–2427, 2013