Iatrogenic spinal accessory nerve injury in children.
نویسندگان
چکیده
Injury to the spinal accessory nerve in the posterior triangle of the neck results in trapezius paralysis and shoulder dysfunction. The most common etiology is iatrogenic and has been reported extensively in adults. We report 3 cases of spinal accessory nerve injury recognized postoperatively in children and discuss the microsurgical treatment, results, and simple strategies to avoid this complication.
منابع مشابه
Spinal accessory nerve injury after rhytidectomy (face lift): a case report.
Injury to the spinal accessory nerve can be a disabling disorder. Patients with a spinal accessory nerve injury may have pain, paresthesias, and motor weakness that may result in scapular winging. The nerve can be injured by open, penetrating, or closed trauma; however, the most common cause is iatrogenic. This is most commonly encountered after procedures in the posterior triangle of the neck ...
متن کاملUpper neck spinal accessory nerve identification during neck dissection.
Iatrogenic injury to the spinal accessory nerve (SAN) during neck dissection may result in significant and avoidable morbidity in the form of 'shoulder syndrome'. The authors describe a simple method, based on the anatomy of the sternocleidomastoid muscle (SCM), which allows consistent and rapid identification of the SAN in the upper neck during dissection, thereby facilitating its preservation.
متن کاملPatient outcome after surgical management of the spinal accessory nerve injury: A long-term follow-up study.
OBJECTIVES A lesion in the spinal accessory nerve is typically iatrogenic: related to lymph node biopsy or excision. This injury may cause paralysis of the trapezius muscle and thus result in a characteristic group of symptoms and signs, including depression and winging of the scapula, drooped shoulder, reduced shoulder abduction, and pain. The elements evaluated in this long-term follow-up stu...
متن کاملShoulder function following partial spinal accessory nerve transfer for brachial plexus birth injury.
Over a 5-year-period, 26 infants underwent a partial transfer of the spinal accessory nerve into the suprascapular nerve using a nerve graft, as part of the repair of a brachial plexus birth injury. At a minimum follow-up of 2.5 years, all children had shoulder function of Grade 4 or better using a modified Gilbert Scale. Average lateral rotation was measured at 53 degrees.
متن کاملSpinal Accessory Neuropathy Associated With the Tumor Located on the Jugular Foramen
Spinal accessory neuropathy is commonly caused by iatrogenic injury or secondary to trauma or infection. Nevertheless, the tumor related palsy is rare. We present a case of an 18-year-old male patient suffering from paralysis of his right trapezius and sternocleidomastoid muscle. An electrophysiologic diagnostic study confirmed the spinal accessory neuropathy of the proximal segment. In additio...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of pediatric surgery
دوره 43 9 شماره
صفحات -
تاریخ انتشار 2008