Work

Respiratory Arrest From Bilateral Hypoglossal Nerve Paralysis

Year: 2025

Type: article

Abstract: Bilateral hypoglossal nerve paralysis (BHNP) can cause airway compromise due to tongue collapse and impaired secretion management. This report underscores the importance of timely airway management. We present a case of a 52-year-old male with cervical necrotizing fasciitis of the left and right submandibular area who underwent multiple debridements, resulting in a BHNP. Sudden respiratory arrest occurred 12 hours after extubation, likely secondary to a combination of supine position, prolapse of a paralyzed tongue base, and poor secretion tolerance. An emergent bedside cricothyroidotomy was successfully performed. In this case, we emphasize the importance of early intervention for patients presenting with signs of BHNP, as well as careful airway surveillance following neck surgery.

Source: Cureus

DOI: 10.7759/cureus.98234

Authors: Charlyn N Gomez, Sunny J Haft

Institution: University of Maryland, Baltimore

Language: English

Topic: Airway Management and Intubation Techniques

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4416864356