Iatrogenic bilateral hypoglossal palsy following spinal surgery

Case Report



Bilateral hypoglossal palsy is a rare complication during airway management in surgery.

Case presentation

Isolated bilateral hypoglossal palsy was noted post-operatively in a patient who underwent multiple spinal surgeries associated with prone anaesthesia.


Risk factors include difficult, multiple intubations, prolonged surgical time, throat pack, and hyperextension of the neck during intubation.


We aim to create awareness about this complication which has a significant morbidity and negative effect on patient outcomes.


Bilateral hypoglossal Palsy Spinal surgery Prone 


Compliance with ethical standards

Conflict of interest

None of the authors has any potential conflict of interest.

Informed consent

Informed consent has been obtained from all individuals included in the study.


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Copyright information

© Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  1. 1.Department of Spinal SurgerySalford Royal NHS Foundation TrustSalfordUK
  2. 2.Department of AnaesthesiaSalford Royal NHS Foundation TrustSalfordUK

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