Irreversible hypoglossal nerve injury and concomitant trigeminal system dysfunction after anterior surgery to the cervical spine: A case report and literature review.

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ID: 79693
2020
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Abstract
The anterior surgical approach to the cervical spine is known to be safe and damage to the hypoglossal nerve and trigeminal pathway after the surgery is uncommon. However, once damage to those nerves occurs, the patient's quality of life can be severely impaired by discomfort and disability.We report the case of a 59-year-old male with concomitant and irreversible hypoglossal nerve and trigeminal system dysfunction after cervical spine surgery by the anterior approach confirmed by an electrodiagnostic study. He had received anterior cervical disc fusion through the right side approach for a herniated intervertebral disc on the C3-C4 level and direct cord compression. He had difficulty with tongue movement, dysarthria, and hypesthesia along the lower margin of the right mandible immediately after the surgery. An electrodiagnostic study revealed hypoglossal neuropathy and trigeminal somatosensory pathway dysfunction. Even though the patient received rehabilitation therapy for impaired tongue movement for more than two years, his condition did not recover.It is important to be aware of the complexity of the anatomy of vulnerable structures, including hypoglossal nerves and the trigeminal nerve system at the cervical spine level, to prevent damage to important neural structures during surgical procedures.
Reference Key
lee2020irreversibleworld Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Lee, Sang Hoon;Kim, Dong Hyun;Cheon, Seong-Min;Choi, Yoon-Hee;
Journal world neurosurgery
Year 2020
DOI
S1878-8750(19)33126-2
URL
Keywords
trigeminal nerve hypoglossal nerve anterior cervical spine surgery spinal trigeminal nucleus

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