“…Previous cases describe similar complications following various cervical spine operations at different levels from both anterior3,4,9,10 and posterior1,5,11,12 approaches. Symptoms typically present unilaterally, but a case of bilateral hypoglossal nerve palsy has been reported following occiput to C3 arthrodesis 12. Common symptoms include dysarthria, dysphagia, and tongue weakness which may be persist indefinitely4,10 or improve over time 1,3,11,12.…”