Bilateral glossopharyngeal nerve palsy following tonsillectomy: a very rare and difficult complication of a common procedure

2015 ◽  
Vol 129 (4) ◽  
pp. 392-394 ◽  
Author(s):  
A Trinidade ◽  
C M Philpott
Keyword(s):  
Case Report ◽  
Soft Palate ◽  
Nerve Palsy ◽  
Rare Complication ◽  
Management Strategies ◽  
Glossopharyngeal Nerve ◽  
Significant Morbidity ◽  
Common Procedure ◽  
Over Time

AbstractObjectives:Tonsillectomy is one of the most commonly performed otolaryngological procedures. Bilateral palsy of the glossopharyngeal nerve is an exceedingly rare complication that can result in significant morbidity. This case report aimed to raise awareness of this complication and outline management strategies.Case report:A 31-year-old woman who underwent routine tonsillectomy presented with progressive numbness of the palate, dysgeusia, xerostomia, paraesthesia of the tongue and the feeling of something in her throat within 2 weeks of surgery. She reported the post-operative onset of snoring. Examination revealed a symmetrically low, ‘dropped’ soft palate. Over time, her symptoms have lessened, but dysgeusia and snoring remain.Conclusion:The position of the glossopharyngeal nerve in the tonsillar bed makes it prone to injury during tonsillectomy, especially if ‘hot’ methods are used. Bilateral injury can result in significant morbidity that can be difficult to treat. Patients should be warned about this risk and care should be taken to minimise it.

scholarly journals Taste disturbance after tonsillectomy: a rare but significant complication- a case report

2015 ◽  
Vol 10 (1) ◽  
pp. 110-112 ◽  
Author(s):  
Misbah Al Kabir ◽  
Sultana Dil Afsana
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Armed Forces ◽  
Glossopharyngeal Nerve ◽  
Phenothiazine Derivatives ◽  
Taste Disturbance ◽  
Significant Complication ◽  
Medical College ◽  
Minimal Trauma ◽  
Possible Cause

Introduction: Tonsillectomy is the most commonly performed procedure and generally regarded as a safe surgery. Taste disturbance is a very rare complication after tonsillectomy, with very few reports in the literature. The most possible cause of this rare complication is direct or indirect damage to the glossopharyngeal nerve or its lingual branch (LBGN). Aim: To report a very rare complication of the most commonly performed procedure i.e. tonsillectomy. Case Report: The case is a 32 years old lady who complained of taste disturbance following tonsillectomy that was performed for chronic tonsillitis. As treatment patient was given Trifluoparazine Hydrochloride a Phenothiazine derivatives and Vit B6 + Vit B12. Patient recovered after 4 months postoperatively. Conclusion: Tonsillectomy should be performed with minimal trauma to the tonsillar bed to avoid injury to the Glossopharyngeal nerve or its lingual branch (LBGN) and all patients should be informed of the risk of post-operative taste disturbance after tonsillectomy. DOI: http://dx.doi.org/10.3329/jafmc.v10i1.22935 Journal of Armed Forces Medical College Bangladesh Vol.10(1) 2014

scholarly journals Anesthetic Approach to Postpneumonectomy Syndrome

2020 ◽  
Vol 24 (3) ◽  
pp. 205-210 ◽  
Author(s):  
Vivian Doan ◽  
Brandon Hammond ◽  
Benjamin Haithcock ◽  
Lavinia Kolarczyk
Keyword(s):  
Case Report ◽  
Airway Management ◽  
Rare Complication ◽  
Pleural Space ◽  
Tissue Expanders ◽  
Hemodynamic Compromise ◽  
Progressive Dyspnea ◽  
Over Time

Postpneumonectomy syndrome is a rare complication in patients who have previously had a pneumonectomy. Over time, the mediastinum may rotate toward the vacant pleural space, which can cause extrinsic airway and esophageal compression. As such, these patients typically present with progressive dyspnea and dysphagia. There is a paucity of reports in the anesthesiology literature regarding the intraoperative anesthetic approach to such rare patients. We present a case of an 18-year-old female found to have postpneumonectomy syndrome requiring thoracotomy with insertion of tissue expanders. Our case report illustrates the complexities involved in the care of these patients with regards to airway management, ventilation concerns, and potential for hemodynamic compromise. This case report underscores the importance of extensive multidisciplinary planning.

scholarly journals Omental Torsion after Laparoscopic Roux-en-Y Gastric Bypass Mimicking Appendicitis: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-2 ◽  
Author(s):  
Alexandre Descloux ◽  
Giacinto Basilicata ◽  
Antonio Nocito
Keyword(s):  
Gastric Bypass ◽  
Case Report ◽  
Acute Abdomen ◽  
Diagnostic Laparoscopy ◽  
Rare Complication ◽  
Late Complication ◽  
Postoperative Phase ◽  
Review Of The Literature ◽  
Common Procedure ◽  
Omental Torsion

Introduction. Laparoscopic Roux-en-Y gastric bypass (LRYGBP) is a common procedure in obesity surgery. The aim of an antecolic approach is to reduce the rate of internal herniation. Our aim is to make bariatric surgeons aware of another possible complication of antecolic LRYGBP.Methods and Results. We present a case report of omental torsion 24 months after antecolic LRYGBP presenting as an acute abdomen, suggesting appendicitis. During diagnostic laparoscopy, omental infarction due to torsion was observed. Resection of the avital omentum was performed.Discussion. Omental torsion after antecolic LRYGBP is a rare complication. When appearing in the early postoperative phase, it may mimic an anastomotic leakage. It may also occur as late complication, presenting with acute abdomen as an appendicitis.

scholarly journals Cochlear implantation in an adult woman with Takayasu’s arteritis: a case report

2021 ◽  
Author(s):  
Arash Bayat ◽  
Ahmad Daneshi ◽  
Majid Karimi ◽  
Sara Saki ◽  
Nader Saki
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Cochlear Implantation ◽  
Takayasu’S Arteritis ◽  
Rare Complication ◽  
Sound Quality ◽  
Adult Woman ◽  
Takayasu's Arteritis ◽  
Present Case Report ◽  
Over Time

Background: Takayasu’s arteritis (TAK) is an idiopathic large-vessel vasculitis. Sensori­neural hearing loss is a rare complication in patients with TAK. In this study, we report an adult woman with hearing loss associated with TAK who underwent cochlear implantation (CI). The Case: The case was a 28-year-old hearing-impaired woman with TAK who underwent uni­lateral CI. The surgery improved the patient’s speech perception and perceived sound quality. However, her auditory and speech performances changed over time. Conclusion: The present case report highlights the importance of monitoring auditory and spe­ech performance of CI patients with TAK. Keywords: Cochlear implantation; Takayasu arteritis; hearing loss  

scholarly journals Total Intracranial Migration of VP shunt - A Case Report

2020 ◽  
Vol 9 (2) ◽  
pp. 168-172
Author(s):  
DM Arman ◽  
Sheikh Muhammad Ekramullah ◽  
Sudipta Kumer Mukherjee ◽  
Joynul Islam ◽  
Mirza Hafizur Rashid ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Common Procedure ◽  
Vp Shunt ◽  
Uncommon Complication

Ventriculoperitoneal (VP) shunt is a common procedure performed for treatinghydrocephalus. Recently, endoscopy has been used in selected cases. Proximalmigration of VP shunt is a rare complication. Complete intracranial migration of VPshunt is very rare with very few cases reported in literature. We report a case ofcomplete intracranial migration of a VP shunt which was endoscopically retrieved.The possible mechanisms causing this very uncommon complication and themanagement are explained. Bang. J Neurosurgery 2020; 9(2): 168-172

scholarly journals Tubeless percutaneous nephrolithotomy (pcnl) in renal allografts: a case report and mini-review

2016 ◽  
Vol 10 ◽  
Author(s):  
Siavash Falahatkar ◽  
Gholamreza Mokhtari ◽  
Samaneh Esmaeili ◽  
Seyed Morteza Bashiri Ebrahimian ◽  
Nadia Rastjou Herfeh
Keyword(s):  
Renal Function ◽  
Case Report ◽  
Percutaneous Nephrolithotomy ◽  
Rare Complication ◽  
Significant Morbidity ◽  
Renal Allografts ◽  
Transplanted Kidney ◽  
Urinary Lithiasis ◽  
Tubeless Percutaneous Nephrolithotomy ◽  
Uncommon Complication

Urinary lithiasis in transplanted kidney is a relatively uncommon complication. However, it may lead to a significant morbidity and loss of renal function. The report presents the case of a 32-year-old male renal-transplant recipient, with a stone in renal pelvis who was treated successfully by tubeless percutaneous nephrolithotomy (PCNL). The patient is currently stone free with no complication. This article also reviews in brief the treatment of this rare complication. Reviewing the literature showed that PCNL is safe and feasible procedure for treating nephrolithiasis in a transplanted kidney.

Intramuscular Migration of Venous Catheter as a Rare Complication of Ventriculoatrial Shunt: Case Report and Literature Review

2017 ◽  
Vol 78 (04) ◽  
pp. 412-416 ◽  
Author(s):  
Cheng-Che Hung ◽  
Hao-Yu Chuang ◽  
Hung-Lin Lin ◽  
Yen-Tse Chu ◽  
Cheng Cheng
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Rare Case ◽  
Rare Complication ◽  
Venous Catheter ◽  
Ventriculoatrial Shunt ◽  
Atrial Thrombus ◽  
Common Procedure ◽  
Shunt Implantation ◽  
Ventriculopleural Shunt

AbstractThe most common procedure to manage hydrocephalus is a ventriculoperitoneal shunt. Other alternatives include a ventriculoatrial (VA) shunt, ventriculopleural shunt, lumboperitoneal shunt, or ventriculocisternal shunt. The VA shunt is a relatively rare procedure for hydrocephalus. As reported, several complications of VA shunt include obstructions, malposition, shunt infections, endocarditis, heart failure, tricuspid regurgitation, intra-atrial thrombus, and pulmonary hypertension. In this case report and literature review, we discuss a rare case of intramuscular migration of a venous tube 1 year after VA shunt implantation. We also report all the possible locations of migration after placement of VA shunt.

scholarly journals Facial Nerve Palsy After Occipital Nerve Blocks — A Case Report

2021 ◽  
Author(s):  
Abdullah Shoaib
Keyword(s):  
Case Report ◽  
Peripheral Nerve ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Pediatric Patients ◽  
Facial Nerve Palsy ◽  
Rare Complication ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Occipital Nerve

The use of bupivacaine and other local anesthetics to perform peripheral nerve blocks is a mainstay in the management of refractory headaches and migraines. In this case report, a patient presented with transient facial nerve palsy shortly after receiving occipital nerve blocks for headaches. Patient’s symptoms self-resolved, and her symptoms were thought to be due to displacement and spreading of bupivacaine to the facial nerve. The spread of bupivacaine can be facilitated by tracking across fascial planes or nerve sheaths. Similar side effects have been seen in dental anesthesia, but there has only been one other report of such a presentation associated with occipital nerve blocks, and none in pediatric patients. Physicians should be aware of this rare complication with peripheral nerve blocks.

scholarly journals Bilateral Adductor Nerve Palsy Following Total Thyroidectomy: A Case Report

2019 ◽  
Vol 57 (216) ◽  
Author(s):  
Prashant Bhatt ◽  
Apar Pokharel
Keyword(s):  
Case Report ◽  
Recurrent Laryngeal Nerve ◽  
Total Thyroidectomy ◽  
Female Patient ◽  
Nerve Palsy ◽  
Rare Complication ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Clinical Findings ◽  
Laryngeal Nerve ◽  
Laryngeal Nerve Palsy

Recurrent Laryngeal Nerve palsy following thyroidectomy is usually attributed to surgery whereas sometimes the cause can be non-surgical and can result in adductor palsy. Bilateral Recurrent Laryngeal Nerve (RLN) paralysis is a rare complication of thyroidectomy. We present a 35 years female patient who developed dysphonia due to bilateral adductor RLN palsy following total thyroidectomy. The clinical findings and recovery were suggestive of a non-surgical cause for palsy in this patient. The management of these patients differs and the knowledge in this regard is very important for the surgeons. Tracheostomy is not required, and recovery of the nerve occurs in most cases in adductor palsy.

Femoral branch to obturator nerve transfer for restoration of thigh adduction following iatrogenic injury

2011 ◽  
Vol 114 (6) ◽  
pp. 1529-1533 ◽  
Author(s):  
Konstantinos Spiliopoulos ◽  
Ziv Williams
Keyword(s):  
Muscle Strength ◽  
Nerve Injury ◽  
Nerve Palsy ◽  
Rare Complication ◽  
Management Strategies ◽  
Nerve Transfer ◽  
Obturator Nerve ◽  
Pelvic Surgery ◽  
Gynecological Malignancy ◽  
Normal Gait

Obturator nerve injury is a rare complication of pelvic surgery. A variety of management strategies have been reported, with conservative measures being the preferred treatment in most cases. While nerve transfer has become more commonly used for restoring brachial plexus injuries, it has rarely been applied to the lower extremities. To the authors' knowledge, this is the first report of an obturator nerve neurotization. A patient presented 7 months after an iatrogenic right obturator nerve palsy due to pelvic surgery for gynecological malignancy. She underwent a femoral branch to obturator nerve transfer to restore right thigh adduction. Ten months after the neurotization procedure, there was electromyographic evidence of almost complete obturator nerve reinnervation. At 1 year postoperatively, the patient had regained full muscle strength on thigh adduction and a normal gait. Nerve transfer could therefore be a good option in patients with obturator nerve injury whose symptoms fail to respond to conservative medical therapy.

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