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Tapia's syndrome is characterized by peripheral damage of the hypoglossal and vagal nerves in the recurrent laryngeal branch at the cervical level. It is associated with trauma due to endotracheal intubation, direct damage to nerves X and XII, carotid dissection involving the ascending pharyngeal artery, fungal infections, and tumors. Diagnosis is...
Citations
... Tapia's syndrome, also known as "matador's disease", [1] involves concurrent paralysis of recurrent laryngeal branch of vagus and hypoglossal nerves. This rare condition was first described almost 117 years ago by a Spanish surgeon, Dr A Garcia Tapia, and continues to intrigue the medical fraternity till date. ...
... [7] Some authors have also reported success with other adjunct therapies such as using a combination of oral corticosteroid therapy with ATP for five months and satellite ganglion block. [14] Crespo et al. [1] also suggested using cytidine disodium with uridine phosphate (5 mg/3 mg for one month), in order to stimulate the production of phospholipids and sphingolipids which form the basic structure of neural membrane and myelin sheath. ...
Tapia syndrome is an extremely rare condition involving simultaneous paralysis of cranial nerves X (recurrent laryngeal branch) and XII. It is mostly believed to occur as a neuropraxic complication of intraoperative airway management. We present a unique case of a 17-year-old female with dysphonia, dysphagia, and deviation of tongue to the right side following temporomandibular joint gap arthroplasty for release of left TMJ ankylosis. A clinical diagnosis of Tapia's syndrome was made on exclusion of surgical or intracranial etiology and conservative management was performed. The aim of this study is to discuss the possible etiology, symptoms, and treatment of this disease along with a review of seven cases of Tapia syndrome associated with maxillofacial surgeries.
