{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T20:06:39Z","timestamp":1782245199038,"version":"3.54.5"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,7,2]],"date-time":"2022-07-02T00:00:00Z","timestamp":1656720000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Hypoglossal nerve palsy is a rare condition usually associated with tumors, trauma, stroke or multiple sclerosis. It can be associated with other cranial nerve palsies while injury to this nerve typically affects a patient's articulation by causing lingual motility disturbance and swallowing difficulty. Bilateral isolated hypoglossal nerve palsy is an even more infrequent condition, which can occasionally be due to airway manipulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We describe a case of bilateral hypoglossal nerve damage following general anesthesia for emergency surgery, presenting with dysarthria, immobility of the tongue and dysphagia after extubation. The patient had a gradual recovery of all lost functions during the next four months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Bilateral hypoglossal nerve palsy is a very rare entity and tracheal tube malposition or prolonged but unnoticed tracheal cuff pressure especially in the face of low blood pressure, should be considered as possible causative mechanisms for this condition. This underlines the importance of careful positioning of the patient's head and neck during surgery as well as the meticulous and correct performance of routine maneuvers of airway management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Bilateral hypoglossal nerve palsy is a very rare entity. Diagnosis and management of twelfth nerve palsy require a multidisciplinary approach to achieve the best patient outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107387","type":"journal-article","created":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T11:46:59Z","timestamp":1657021619000},"page":"107387","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Bilateral palsy of the hypoglossal nerve following general anesthesia for emergency surgery. A case report"],"prefix":"10.1097","volume":"96","author":[{"given":"Panagiota","family":"Brattou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos","family":"Iliakopoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evangelos","family":"Anagnostou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Zambelis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Polydorou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kassiani","family":"Theodoraki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-94-20260309","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1001\/archneur.1996.00550060105023","article-title":"Twelfth-nerve palsy: analysis of 100 cases","volume":"53","author":"Keane","year":"1996","journal-title":"Arch. Neurol"},{"key":"R2-94-20260309","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1111\/j.1365-2044.1994.tb14230.x","article-title":"Unilateral hypoglossal nerve paralysis following the use of the laryngeal mask airway","volume":"49","author":"Nagai","year":"1994","journal-title":"Anaesthesia"},{"key":"R3-94-20260309","doi-asserted-by":"crossref","first-page":"e28","DOI":"10.1016\/j.jse.2007.07.022","article-title":"Isolated unilateral hypoglossal nerve palsy after shoulder surgery in beach-chair position","volume":"17","author":"Rhee","year":"2008","journal-title":"J. Shoulder Elb. Surg"},{"key":"R5-94-20260309","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1055\/s-2007-998187","article-title":"Hypoglossal nerve paralysis following tonsillectomy","volume":"69","author":"Michel","year":"1990","journal-title":"Laryngorhinootologie"},{"key":"R6-94-20260309","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1213\/ANE.0000000000000495","article-title":"Hypoglossal nerve palsy after airway management for general anesthesia: an analysis of 69 patients","volume":"120","author":"Shah","year":"2015","journal-title":"Anesth. Analg"},{"key":"R7-94-20260309","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1007\/s00115-005-1985-7","article-title":"Bilateral hypoglossal nerve palsy following intubation","volume":"77","author":"Bramer","year":"2006","journal-title":"Nervenarzt"},{"key":"R8-94-20260309","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1111\/j.0001-5172.2004.0332.x","article-title":"Bilateral hypoglossal nerve injury following the use of the laryngeal mask without the use of nitrous oxide","volume":"48","author":"Sommer","year":"2004","journal-title":"Acta Anaesthesiol. Scand"},{"key":"R9-94-20260309","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1055\/s-0028-1124022","article-title":"Cranial nerve XII: the hypoglossal nerve","volume":"29","author":"Lin","year":"2009","journal-title":"Semin. Neurol"},{"key":"R10-94-20260309","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/S0090-3019(00)00160-9","article-title":"The optimal transarticular c1-2 screw length and the location of the hypoglossal nerve","volume":"53","author":"Ebraheim","year":"2020","journal-title":"Surg. Neurol"},{"key":"R11-94-20260309","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1007\/BF03015523","article-title":"Transient nerve damage following intubation for trans-sphenoidal hypophysectomy","volume":"46","author":"Evers","year":"1999","journal-title":"Can. J. Anesth"},{"key":"R13-94-20260309","doi-asserted-by":"crossref","first-page":"83","DOI":"10.2535\/ofaj.89.83","article-title":"Morphological study of the human hyoid bone with three-dimensional CT images -gender difference and age-related changes","volume":"89","author":"Ito","year":"2012","journal-title":"Okajimas Folia Anat. Jpn"},{"key":"R14-94-20260309","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1186\/1477-7819-11-225","article-title":"Hypoglossal nerve monitoring, a potential application of intraoperative nerve monitoring in head and neck surgery","volume":"11","author":"Duque","year":"2013","journal-title":"World J. Surg. Oncol"},{"key":"R15-94-20260309","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1016\/j.jvs.2004.12.035","article-title":"Monitoring of the hypoglossal nerve during general anesthesia","volume":"41","author":"B\u00f6hner","year":"2005","journal-title":"J. Vasc. Surg"},{"key":"R16-94-20260309","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. 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