Anesthesia and Pain Medicine  2016;11(3):322-325

doi:10.17085/apm.2016.11.3.322

Cranial nerve XII (hypoglossal nerve) palsy after arthroscopic shoulder surgery under general anesthesia combined with sono-guided interscalene brachial plexus block: A case report.

Chang Jae KIM 1 ; Hyun Seok OH ; Jun Jae PARK ; Mee Young CHUNG

Affiliations

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Keywords

Arthroscopic shoulder surgery; Beach chair position; Hypoglossal nerve palsy

Country

Republic of Korea

Language

English

Abstract

Neurologic complications after shoulder surgery may result from surgical procedures or anesthesia. Hypoglossal nerve is a pure motor nerve that supplies mylohyoid and hyoglossus muscles. Isolated hypoglossal nerve injury may be caused by direct trauma, head malposition (hyperextension or hyperflexion), and indirect compression or traction during intubation. We report a case of left hypoglossal nerve palsy after arthroscopic left shoulder surgery in the beach chair position under general anesthesia combined with brachial plexus block.