{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T12:26:38Z","timestamp":1771244798385,"version":"3.50.1"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Yangzhou City Basic Research Program (Joint Special Project) - Health and Wellness Category","award":["2025-2-28"],"award-info":[{"award-number":["2025-2-28"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Anesthesiol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Combined palsy of the hypoglossal and lingual nerves following laryngeal mask airway (LMA) use is a rare complication. This case report delineates the clinical course and management of this unique entity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 71-year-old male developed left-sided tongue paralysis and sensory loss in the anterior two-thirds of the tongue 24 hours after hand surgery under LMA anesthesia. Central lesions were excluded via neuroimaging. Electromyography (EMG) confirmed a left hypoglossal nerve conduction delay, consistent with neuropraxia. A multimodal treatment regimen comprising a 5-day course of intravenous methylprednisolone followed by a 2-week oral prednisone taper, murine nerve growth factor for two weeks, and targeted rehabilitation was implemented. Complete neurological recovery was achieved within three months, as confirmed by clinical assessment and normalized electrophysiological studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This case underscores that prolonged LMA use can lead to compound cranial neuropathy, likely due to mechanical compression at the tongue base. Early diagnosis, exclusion of central causes, and prompt initiation of combined anti-inflammatory, neurotrophic, and rehabilitative therapy are crucial for optimal recovery. Emphasis on individualized airway management and pressure monitoring in elderly patients is recommended to mitigate this risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12871-026-03640-2","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T07:35:41Z","timestamp":1768980941000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lingual and hypoglossal nerve palsy following general anesthesia with laryngeal mask airway: a case report"],"prefix":"10.1186","volume":"26","author":[{"given":"Wenjun","family":"Yang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Limin","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meiyu","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"issue":"2","key":"3640_CR1","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1213\/00000539-199908000-00069","volume":"89","author":"J Brimacombe","year":"1999","unstructured":"Brimacombe J, Keller C. Laryngeal mask airway-induced recurrent laryngeal nerve palsy. Anesth Analg. 1999;89(2):535\u2013535.","journal-title":"Anesth Analg"},{"issue":"3","key":"3640_CR2","first-page":"789","volume":"124","author":"NB Shah","year":"2017","unstructured":"Tapia AG. Un Caso de par\u00e1lisis Del Lado derecho de La Laringe y de La lengua, Con par\u00e1lisis Del esternocleidomastoideo y Trapecio Del mismo Lado. Siglo M\u00e9dico. 1904;51:330\u20133. (In Spanish).","journal-title":"Anesth Analg"},{"issue":"2","key":"3640_CR3","first-page":"191","volume":"70","author":"YH Kim","year":"2017","unstructured":"Shah NB, Patel RD, Williams KA. Postoperative cranial nerve palsy after general anesthesia: a systematic review and meta-analysis. Anesth Analg. 2017;124(3):789\u201397.","journal-title":"Korean J Anesthesiol"},{"issue":"5","key":"3640_CR4","first-page":"523","volume":"36","author":"TL Wang","year":"2016","unstructured":"Kim YH, Park JH, Choi SH, et al. Effect of early corticosteroid treatment in patients with postoperative hypoglossal nerve palsy. Korean J Anesthesiol. 2017;70(2):191\u20135.","journal-title":"Chin J Anesthesiol"},{"issue":"3","key":"3640_CR5","first-page":"789","volume":"132","author":"HC Kim","year":"2021","unstructured":"Wang TL, Zhang LP, Ma H. Clinical analysis of hypoglossal nerve palsy after general anesthesia. Chin J Anest hesiol. 2016;36(5):523\u20135. (In Chinese)","journal-title":"Anesth Analg"},{"issue":"4","key":"3640_CR6","first-page":"390","volume":"35","author":"J Liu","year":"2015","unstructured":"Guo G, Wang X. Color Atlas of Human Anatomy. 3rd ed. Beijing: People's Medical Publishing House; 2018. p. 283. (In Chinese)","journal-title":"Chin J Anesthesiol"},{"issue":"6","key":"3640_CR7","first-page":"641","volume":"37","author":"Chinese Society of Anesthesiology","year":"2017","unstructured":"Kim HC, Jeon YT, Hwang JW, et al. Cuff pressure monitoring during laryngeal mask airway use: a multicenter prospective study. Anesth Analg. 2021;132(3):789\u201397.","journal-title":"Chin J Anesthesiol"},{"key":"3640_CR8","unstructured":"Chinese Society of Anesthesiology. Clinical guidelines for laryngeal mask airway application. Chin J Anesthesiol. 2017;37(6):641\u20135. (In Chinese)."}],"container-title":["BMC Anesthesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12871-026-03640-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12871-026-03640-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12871-026-03640-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T11:54:48Z","timestamp":1771242888000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12871-026-03640-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,21]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3640"],"URL":"https:\/\/doi.org\/10.1186\/s12871-026-03640-2","relation":{},"ISSN":["1471-2253"],"issn-type":[{"value":"1471-2253","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,21]]},"assertion":[{"value":"17 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Approved by the Ethics Committee of Jiangdu People's Hospital (Approval No: YJRY-2025-K-008). Waiver of informed consent for participation was granted due to the retrospective nature of the report.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying data and images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"127"}}