Electroacupuncture as an effective therapy for Tapia’s syndrome after transoral intubation for general anesthesia: a case report and review of the literature

Abstract Background Tapia’s syndrome is a rare complication of airway manipulation under general anesthesia. Injuries to the vagus nerve (X) and hypoglossal nerve (XII) during transoral intubation are the primary cause of the disease. The typical symptoms include hoarseness, dysarthria, dysphagia, t...

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Main Authors: Luan Xie, Zhenyu Xiong, Weihong Xiao, Yingnan Mo, Xiangliang Li, Xuan Zhuang, Ying Yang, Haipeng Jin
Format: Article
Language:English
Published: BMC 2022-11-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-022-03632-z
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author Luan Xie
Zhenyu Xiong
Weihong Xiao
Yingnan Mo
Xiangliang Li
Xuan Zhuang
Ying Yang
Haipeng Jin
author_facet Luan Xie
Zhenyu Xiong
Weihong Xiao
Yingnan Mo
Xiangliang Li
Xuan Zhuang
Ying Yang
Haipeng Jin
author_sort Luan Xie
collection DOAJ
description Abstract Background Tapia’s syndrome is a rare complication of airway manipulation under general anesthesia. Injuries to the vagus nerve (X) and hypoglossal nerve (XII) during transoral intubation are the primary cause of the disease. The typical symptoms include hoarseness, dysarthria, dysphagia, tongue muscle atrophy, and tongue deviation toward the affected side. We report a case of Tapia’s syndrome treated with electroacupuncture to accelerate the recovery process, and discuss the potential mechanism behind our findings based on previous research. Case presentation In this report, we describe a 57-year-old Chinese man who suffered Tapia’s syndrome after craniotomy evacuation of hematoma with general anesthesia and transoral intubation. After 52 days of electroacupuncture therapy along with standard swallowing training, the patient achieved significant improvement in deglutition and speech function. Conclusion Electroacupuncture is effective and safe for Tapia’s syndrome. It can shorten the recovery time when combined with routine swallowing rehabilitation.
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spelling doaj.art-b43fbfe35c684b488ce4f4379f9ec1df2022-12-22T04:38:25ZengBMCJournal of Medical Case Reports1752-19472022-11-011611710.1186/s13256-022-03632-zElectroacupuncture as an effective therapy for Tapia’s syndrome after transoral intubation for general anesthesia: a case report and review of the literatureLuan Xie0Zhenyu Xiong1Weihong Xiao2Yingnan Mo3Xiangliang Li4Xuan Zhuang5Ying Yang6Haipeng Jin7College of Acupuncture, Fujian University of Traditional Chinese MedicineDepartment of Rehabilitation, Xiamen Hospital of Beijing University of Chinese MedicineDepartment of Rehabilitation, Xiamen Hospital of Beijing University of Chinese MedicineCollege of Acupuncture, Fujian University of Traditional Chinese MedicineDepartment of Rehabilitation, Xiamen Hospital of Beijing University of Chinese MedicineDepartment of Rehabilitation, Xiamen Hospital of Beijing University of Chinese MedicineCollege of Acupuncture, Fujian University of Traditional Chinese MedicineDepartment of Rehabilitation, Xiamen Hospital of Beijing University of Chinese MedicineAbstract Background Tapia’s syndrome is a rare complication of airway manipulation under general anesthesia. Injuries to the vagus nerve (X) and hypoglossal nerve (XII) during transoral intubation are the primary cause of the disease. The typical symptoms include hoarseness, dysarthria, dysphagia, tongue muscle atrophy, and tongue deviation toward the affected side. We report a case of Tapia’s syndrome treated with electroacupuncture to accelerate the recovery process, and discuss the potential mechanism behind our findings based on previous research. Case presentation In this report, we describe a 57-year-old Chinese man who suffered Tapia’s syndrome after craniotomy evacuation of hematoma with general anesthesia and transoral intubation. After 52 days of electroacupuncture therapy along with standard swallowing training, the patient achieved significant improvement in deglutition and speech function. Conclusion Electroacupuncture is effective and safe for Tapia’s syndrome. It can shorten the recovery time when combined with routine swallowing rehabilitation.https://doi.org/10.1186/s13256-022-03632-zTapia’s syndromeElectroacupunctureDysphagiaDysarthriaCase reportSwallowing
spellingShingle Luan Xie
Zhenyu Xiong
Weihong Xiao
Yingnan Mo
Xiangliang Li
Xuan Zhuang
Ying Yang
Haipeng Jin
Electroacupuncture as an effective therapy for Tapia’s syndrome after transoral intubation for general anesthesia: a case report and review of the literature
Journal of Medical Case Reports
Tapia’s syndrome
Electroacupuncture
Dysphagia
Dysarthria
Case report
Swallowing
title Electroacupuncture as an effective therapy for Tapia’s syndrome after transoral intubation for general anesthesia: a case report and review of the literature
title_full Electroacupuncture as an effective therapy for Tapia’s syndrome after transoral intubation for general anesthesia: a case report and review of the literature
title_fullStr Electroacupuncture as an effective therapy for Tapia’s syndrome after transoral intubation for general anesthesia: a case report and review of the literature
title_full_unstemmed Electroacupuncture as an effective therapy for Tapia’s syndrome after transoral intubation for general anesthesia: a case report and review of the literature
title_short Electroacupuncture as an effective therapy for Tapia’s syndrome after transoral intubation for general anesthesia: a case report and review of the literature
title_sort electroacupuncture as an effective therapy for tapia s syndrome after transoral intubation for general anesthesia a case report and review of the literature
topic Tapia’s syndrome
Electroacupuncture
Dysphagia
Dysarthria
Case report
Swallowing
url https://doi.org/10.1186/s13256-022-03632-z
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