Introduction: Bilateral hypoglossal palsy is a rare complication during airway management in surgery.
Case presentation: Isolated bilateral hypoglossal palsy was noted post-operatively in a patient who underwent multiple spinal surgeries associated with prone anaesthesia.
Discussion: Risk factors include difficult, multiple intubations, prolonged surgical time, throat pack, and hyperextension of the neck during intubation.
Conclusion: We aim to create awareness about this complication which has a significant morbidity and negative effect on patient outcomes.
Keywords: Bilateral hypoglossal; Palsy; Prone; Spinal surgery.