Bilateral Tapia syndrome in teenager with post traumatic Hangman's fracture and carotid artery dissection

Q4 Medicine

Trauma Case Reports Pub Date : 2024-04-08 DOI:10.1016/j.tcr.2024.101029

Francesco Perrotta, Donato Piscopiello, Gaetano Iosa, Daniele Gemma, Daniela Rizzo, Francesca De Salvo, Davide D'Antini, Emanuele Scarano , Fabio Colonna

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引用次数: 0

Abstract

Background

Tapia syndrome (TS) is a rare condition characterized by unilateral hypoglossal and recurrent laryngeal nerve palsy, leading to tongue deviation, swallowing difficulty and dysphonia.

Case report

We describe a case of a 17-year-old boy who reported a bilateral TS following head and neck trauma with Hangman's fracture and right common carotid artery dissection. The confirmation occurred only after complete cognitive and motor recovery, verifying the inability to protrude the tongue and swallow, associated with complete paralysis of the vocal cords, diagnosed with fiber optic laryngoscopy.

An initial recovery of tongue motility and phonation occurred after just over a month of rehabilitation.

Conclusion

In addition to the lack of awareness due to the rarity of the syndrome, the diagnosis of TS may be delayed in patients who are unconscious or who have slow cognitive recovery following head trauma. The case we present may help to increase awareness and avoid unnecessary diagnostic investigations.

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患有外伤后刽子手骨折和颈动脉夹层的青少年的双侧塔皮亚氏综合征

背景塔皮亚综合征（Tapia Syndrome，TS）是一种罕见的疾病，其特征是单侧舌下神经和喉返神经麻痹，导致舌偏斜、吞咽困难和发音障碍。在经过一个多月的康复治疗后，患者的舌运动和发音能力得到初步恢复。结论除了由于该综合征的罕见性而缺乏认知外，对于头部外伤后昏迷不醒或认知能力恢复缓慢的患者，TS 的诊断可能会被延迟。我们介绍的病例可能有助于提高人们的认识，避免不必要的诊断检查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.