Spinal accessory nerve palsy following blunt trauma

Braybrooke, J.; Kumar, C. Radhesh; Morris, E. W.

doi:10.1016/s0020-1383(02)00165-1

Cited by 16 publications

(11 citation statements)

References 6 publications

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“…Electrodiagnostic testing confirms injury to the SAN, and can help evaluate partial injuries, or those with early reinnervation. [7] Nevertheless, some partial injuries without denervation may be difficult to diagnosis. Because the SAN is superficial and readily exposed, early surgical exploration and repair should be considered, especially with iatrogenic or sharp, lacerating injuries.…”

Section: Discussionmentioning

confidence: 99%

“…Because the SAN is superficial and readily exposed, early surgical exploration and repair should be considered, especially with iatrogenic or sharp, lacerating injuries. [1,7] Alternatively, when nerve continuity is likely, or if partial function is present, it may be prudent to observe these patients for 3-6 months with serial electrodiagnostic tests, and explore those patients who fail to recover. Transected nerves should be repaired directly, or with an interposition nerve graft obtained from the greater auricular or sural nerve.…”

Section: Discussionmentioning

confidence: 99%

“…For chronic palsies (older than 1-2 years), where nerve surgery is no longer an option, one may undergo a tendon transfer where the levator scapulae and rhomboids are advanced from under the scapula to over the margin of the scapula. [7,[10][11][12] Few cases of SANP secondary to stretch or traction injury have been reported in the literature. Two separate cases were reported to follow lifting heavy objects.…”

Section: Temmuz -July 2012mentioning

confidence: 99%

See 2 more Smart Citations

Late onset spinal accessory nerve palsy after traffic accident: Case report

Tekin¹,

Ege²

2012

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Temmuz -July 2012mentioning

confidence: 99%

See 1 more Smart Citation

Late onset spinal accessory nerve palsy after traffic accident: Case report

Tekin¹,

Ege²

2012

Ulus Travma Acil Cerrahi Derg

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“…A case of whiplash injury of the head resulted in traction injury of the nerve 12. Traction and compression injuries may happen together when heavy objects are carried on the shoulder with the head turned away 13. Spontaneous SAN palsy of unknown origin has also been reported in the literature 14…”

Section: Discussionmentioning

confidence: 99%

Impairment of upper trapezius branch of the spinal accessory nerve during bypass grafting: A stretch injury?

2009

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Internal jugular vein catheterization has been implicated in spinal accessory nerve (SAN) injuries after coronary artery bypass grafting (CABG). Stretch injury due to prolonged positioning during CABG has also been proposed as another mechanism of injury. Herein we describe a male patient with left shoulder pain and abduction difficulty following CABG, who displayed electromyographic abnormalities confined to the left upper trapezius muscle. Internal jugular vein catheterization had not been performed during surgery. Although unusual, the possibility of upper trapezius muscular branch paralysis should be considered in patients with shoulder pain or weakness after CABG.

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“…The majority of spinal accessory nerve lesions occur after lymph node biopsy and tumor resection in the posterior cervical triangle (1)(2)(3)(4)(5)(6)(7). Other etiologies include blunt trauma, irradiation, penetrating injury, vascular ectasia, carotid endarterectomy, cardiac surgery, laceration, compression, strenuous weight lifting, whiplash, spontaneous palsy (idiopathic) due to plexitis, and other more rare occasions (3)(4)(5)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22).…”

Section: öZetmentioning

confidence: 99%

Spinal Aksesuar Sinir Felci: Dört Atipik Hastanın Değerlendirilmesi

Bahadır¹,

Topatan²,

Kurtulus³

2011

Tftr

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Sum marySpinal accessory nerve palsy commonly occurs as a result of iatrogenic injury, usually during lymph node excision in the posterior cervical triangle. Numerous alternative etiologies are described. Trauma is the most common cause of non-iatrogenic palsy. Sometimes, the cause of the palsy cannot be identified. Here, we report four atypical cases of isolated spinal accessory nerve palsy leading to trapezius muscle dysfunction. In one patient, accessory nerve palsy developed after reduction mammaplasty and abdominoplasty surgery (Case 1). One of them experienced a stretch injury due to weight lifting (Case 2). In one patient, a clear reason could not be identified (Case 3). In a 12-year-old girl, accessory nerve palsy was caused by her heavy school bag (Case 4). All three segments of trapezius muscle were involved in all cases, except for the case 1 who had only the upper segment involvement. The patients were followed clinically and electrophysiologically for 24-30 months. Both cases 1 and 2 showed complete recovery within six months, whereas cases 3 and 4 showed incomplete recovery. The clinical similarities and differences, and also the neurophysiological findings of cases are discussed in this paper. Our long-term follow-up findings may help us to understand the mechanism and the natural course of the accessory nerve palsies. Turk J Phys Med Re hab 2011;57:248-52.

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Spinal accessory nerve palsy following blunt trauma

Cited by 16 publications

References 6 publications

Late onset spinal accessory nerve palsy after traffic accident: Case report

Late onset spinal accessory nerve palsy after traffic accident: Case report

Impairment of upper trapezius branch of the spinal accessory nerve during bypass grafting: A stretch injury?

Spinal Aksesuar Sinir Felci: Dört Atipik Hastanın Değerlendirilmesi

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