J Korean Neurol Assoc.  2004 Jun;22(3):276-279.

Delayed Spinal Accessory Neuropathy Diagnosed after Local Operative Surgical Procedures in The Posterior Cervical Triangle

Affiliations
  • 1Department of Neurology, Seoul National University College of Medicine, Seoul, Korea. kwoo@plaza.snu.ac.kr

Abstract

The spinal accessory nerve is well known to be injured by surgical procedures in the posterior cervical triangle. The trapezius muscle innervated by the spinal accessory nerve is a major scapular stabilizer, so the paralysis of this muscle results in shoulder droop, limited range of motion, and displacement of scapula as well as shoulder pain. Spinal accessory neuropathy from a local surgical procedure may begin immediately. We experienced three spinal accessory neuropathy cases with delayed onset after local surgical procedures.

Keyword

Accessory nerve; Surgical procedure

MeSH Terms

Accessory Nerve
Paralysis
Range of Motion, Articular
Scapula
Shoulder
Shoulder Pain
Superficial Back Muscles
Surgical Procedures, Operative*
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