title: Tapia's syndrome secondary to laterocervical localization of diffuse large cell lymphoma.
abstract: The eponym "Tapia's syndrome" indicates an associated unilateral vocal cord and tongue paralysis secondary to a peripheral involvement of the recurrent laryngeal branch and the hypoglossal nerve. Although mainly observed as a complication of surgery or anaesthesia, it can rarely occur secondary to infectious or neoplastic causes. We are presenting a case of a teen-ager with Tapia's syndrome who had been seeking medical assistance for episodes of loss of consciousness and was diagnosed with a high-grade peripheral B-cell lymphoma, an association not previously described. This syndrome should be remembered even outside the surgical contest for its highly localising value.
authors: Child Neuropsychiatry Unit, Department of Neuroscience, University of Parma, Parma, Italy; Department of Life and Reproduction Sciences, University of Verona, Verona, Italy.
authors: Gaetano
authors: G
authors: Cantalupo
authors: Child Neuropsychiatry Unit, Department of Neuroscience, University of Parma, Parma, Italy. Electronic address: carlotta.spagnoli@gmail.com.
authors: Carlotta
authors: C
authors: Spagnoli
authors: Department of Neuroscience, Section of Neuroradiology, University-Hospital of Parma, Parma, Italy.
authors: Davide
authors: D
authors: Cerasti
authors: Child Neuropsychiatry Unit, University-Hospital of Parma, Parma, Italy.
authors: Benedetta
authors: B
authors: Piccolo
authors: Department of Neuroscience, Section of Neuroradiology, University-Hospital of Parma, Parma, Italy.
authors: Girolamo
authors: G
authors: Crisi
authors: Child Neuropsychiatry Unit, Department of Neuroscience, University of Parma, Parma, Italy.
authors: Francesco
authors: F
authors: Pisani
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D006257:Head / Q000473:pathology; D006258:Head and Neck Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D009333:Neck / Q000473:pathology; D014060:Tongue Diseases / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D014826:Vocal Cord Paralysis / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology
keywords: Cranial nerve palsies; Diffuse large cell lymphoma; Hypoglossal nerve; Recurrent laryngeal nerve