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Bilateral hypoglossal nerve injury after bilateral carotid endarterectomy.

1988; Lippincott Williams & Wilkins; Volume: 19; Issue: 2 Linguagem: Inglês

10.1161/01.str.19.2.261

1524-4628

José A. Gutrecht, H. Royden Jones,

Intracranial Aneurysms: Treatment and Complications

A case of severe bilateral injury to the hypoglossal nerves after two-stage carotid endarterectomy is described. Injury to the hypoglossal nerve occurs in up to 20% of patients undergoing carotid endarterectomy and may result in mild or unnoticed deficits. These injuries must be carefully searched for in patients who will undergo a similar procedure on the opposite side since a bilateral deficit of the hypoglossal nerve is poorly tolerated, causing potentially serious impairment of speech and risk of aspiration.