ArticleFrontiers in surgery2025
Tapia syndrome following anterior cervical surgery in a patient with diffuse idiopathic skeletal hyperostosis: a case report.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Postoperative Tapia syndrome after lumbar posterior lumbar interbody fusion: a case report.Frontiers in medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Tapia syndrome is a rare complication characterized by concurrent injury to the hypoglossal and vagus nerves, most often associated with airway manipulation during general anesthesia. Patients with diffuse idiopathic skeletal hyperostosis (DISH) present unique anatomical challenges for anterior cervical surgery, increasing the risk of airway-related nerve injury. Case presentation: We report the case of a 73-year-old man with cervical DISH and myelopathy who underwent anterior cervical corpectomy and fusion (ACCF). Despite an uneventful intraoperative course, the patient developed postoperative hoarseness and delayed airway obstruction due to posterior tongue collapse. Laryngoscopy ruled out vocal cord injury. A diagnosis of Tapia syndrome was made based on the combination of hypoglossal and vagus nerve palsy. The patient required temporary tracheostomy and received glucocorticoid therapy, neurotrophic agents, and rehabilitation. All symptoms gradually resolved, and the patient was discharged after 40 days with near-complete recovery. Conclusion: This case emphasizes the need for careful airway management and early recognition of cranial nerve dysfunction in patients with DISH undergoing anterior cervical surgery. Individualized preoperative anatomical assessment, meticulous intraoperative airway control, and vigilant postoperative monitoring are essential to reduce the risk of this rare but significant complication.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.