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Canadian Journal of Anesthesia, Vol 6, 285-288, Copyright © 1959 by Canadian Anesthesiologists' Society

Vagus and Glossopharyngeal Nerve Paralysis: Case Report

M. KEÉRI-SZÁntÓ M.D.1 and M. BELZILE M.D., M.S. (N.Y.U.)1

1 Anaesthesia and ENT Services of Notre Dame Hospital, Montreal

Following essentially normal induction and installation for craniotomy, a 35-year-old male developed paroxysmal hypertension and tachycardia which culminated in cardiac standstill. Prompt initial recovery was followed postoperatively by complete motor and sensory paralysis of the larynx and pharynx as well as persistent tachycardia. These symptoms continued for six weeks and the eventual full functional recovery took several months. The accident is tentatively explained, in terms of paralysis of the ninth and tenth nerves and the pertinent literature is reviewed.

Note:

The authors are indebted to Dr C Bertrand, F R C S (C) for referral of his patient and for his interest and helpful criticism in the preparation of this manuscript

A preliminary report of the anaesthetic aspects of this case was published anonymously in the A S A monthly Newsletter (No. 200), the comments of several anaesthesiologists, appearing subsequently in the same journal, are gratefully acknowledged






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Copyright © 1959 by the Canadian Anesthesiologists' Society.