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Transient isolated lingual nerve neuropraxia associated with general anaesthesia and laryngeal mask use: two case reports and a review of the literature.
- Source :
-
Irish journal of medical science [Ir J Med Sci] 2010 Jun; Vol. 179 (2), pp. 297-300. Date of Electronic Publication: 2009 May 13. - Publication Year :
- 2010
-
Abstract
- Background: Transient, isolated lingual nerve neuropraxia is a rare complication following general anaesthesia. Reports implicate airway manipulation and we describe two new cases associated with laryngeal mask airway (LMA) and review the related English language literature.<br />Results: Unilateral numbness and loss of taste on the anterior tongue were the characteristic symptoms. Collation of literature data (median and range) with that from the new cases showed: patient age was 38 (20-61) years and female to male ratio was 1.2:1. Surgery time was 62.5 (20-150) min and symptom duration was 28 (7-120) days.<br />Conclusion: Lingual neuropraxias reported have been transient and patients can be advised, despite disturbing symptoms, that recovery is anticipated in about 1 month. Lingual neuropraxia reports are becoming more frequent, perhaps associated with increasing LMA use. Research is recommended as modification to LMA cuff volume, pressure and/or position within the oral cavity might ameliorate the entity.
- Subjects :
- Adult
Analgesics, Opioid adverse effects
Anesthetics, Intravenous adverse effects
Atracurium adverse effects
Female
Fentanyl adverse effects
Humans
Hypesthesia chemically induced
Lingual Nerve pathology
Male
Meperidine adverse effects
Middle Aged
Neuromuscular Nondepolarizing Agents adverse effects
Propofol adverse effects
Time Factors
Young Adult
Anesthesia, General adverse effects
Cranial Nerve Diseases chemically induced
Laryngeal Masks adverse effects
Lingual Nerve drug effects
Subjects
Details
- Language :
- English
- ISSN :
- 1863-4362
- Volume :
- 179
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Irish journal of medical science
- Publication Type :
- Academic Journal
- Accession number :
- 19437092
- Full Text :
- https://doi.org/10.1007/s11845-009-0347-z