Anat Cell Biol.  2021 Sep;54(3):404-406. 10.5115/acb.21.071.

Duplicated transverse cervical nerve and external jugular vein

Affiliations
  • 1Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA.
  • 2Department of Neurology, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA.
  • 3Department of Anatomical Sciences, St. George's University, St. George's Grenada.
  • 4Department of Structural & Cellular Biology, Tulane University School of Medicine, New Orleans, LA, USA.
  • 5Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, LA, USA.
  • 6Department of Surgery, Tulane University School of Medicine, New Orleans, LA, USA.
  • 7Dental and Oral Medical Center, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
  • 8Division of Gross and Clinical Anatomy, Department of Anatomy, Kurume University School of Medicine, Kurume, Fukuoka, Japan.

Abstract

The transverse cervical nerve arises from anterior rami of the second and third cervical spinal nerves via the cervical plexus. We present a case of a left duplicated transverse cervical nerve with a duplicated external jugular vein in a 72-year-old female cadver. The transverse cervical nerve bifurcated into two branches, i.e., superficial and deep branches, lateral to the sternocleidomastoid muscle. The superficial branch ran lateral to the duplicated external jugular vein and gave a cutaneous branch to the area below the great auricular nerve and cutaneous branches to the skin of the neck. The deep branch ran medial to the duplicated external jugular vein, joined the anterior branch of the superficial transverse cervical nerve and cervical branch of the facial nerve, and terminated into the skin. This case adds to the growing data on individual variability that should be considered when operating on the anterolateral neck.

Keyword

Transverse cervical nerve; External jugular vein; Anatomy; Cadaver; Neck surgery

Figure

  • Fig. 1 Duplication of the TCN and external jugular vein (asterisk). A small branch of the cervical branch of the facial nerve, one of the anterior branch of the superficial TCN and deep TCN unite and innervate the skin (large red arrow). Small orange arrows indicate superficial branches of TCN; small white arrows indicate deep branch of TCN. GAN, great auricular nerve; SCM, sternocleidomastoid muscle; TCN, transverse cervical nerve.


Reference

References

1. Tubbs RS, Rizk E, Shoja MM, Loukas M, Barbaro NM, Spinner RJ. 2005. Nerves and nerve injuries: vol 1: history, embryology, anatomy, imaging, and diagnostics. Academic Press;London: p. 441–9.
2. Erb W. 1883. Handbook of electro-therapeutics. William Wood and Company;New York: p. 122–4.
3. Ono K, Yoshioka N, Hage D, Ibaragi S, Tubbs RS, Iwanaga J. 2021; Feb. 23. Duplication of the external jugular vein: a language barrier of database search in classic anatomical studies. Surg Radiol Anat. [Epub]. https://doi.org/10.1007/s00276-021-02717-6. DOI: 10.1007/s00276-021-02717-6. PMID: 33620594.
Article
4. Domet MA, Connor NP, Heisey DM, Hartig GK. 2005; Anastomoses between the cervical branch of the facial nerve and the transverse cervical cutaneous nerve. Am J Otolaryngol. 26:168–71. DOI: 10.1016/j.amjoto.2004.11.018. PMID: 15858771.
Article
5. Reuther WJ, Blythe JN, Anand R, Brennan PA. 2014; Communication of the transverse cervical nerve with the marginal mandibular nerve: a previously unreported anatomical variant. Br J Oral Maxillofac Surg. 52:577–8. DOI: 10.1016/j.bjoms.2014.03.021. PMID: 24793411.
Article
6. Brennan PA, Mak J, Massetti K, Parry DA. 2019; Communication between the transverse cervical nerve (C2,3) and marginal mandibular branch of the facial nerve: a cadaveric and clinical study. Br J Oral Maxillofac Surg. 57:232–5. DOI: 10.1016/j.bjoms.2018.10.289. PMID: 30803734.
Article
7. Lin K, Uzbelger Feldman D, Barbe MF. 2013; Transverse cervical nerve: implications for dental anesthesia. Clin Anat. 26:688–92. DOI: 10.1002/ca.22221. PMID: 23362053.
Article
8. Beasley WD, Gibbons CP. 2008; Cranial nerve injuries and the retrojugular approach in carotid endarterectomy. Ann R Coll Surg Engl. 90:685–8. DOI: 10.1308/003588408X318138. PMID: 18828964. PMCID: PMC2727813.
Article
9. Tan BK, Wong CH, Chen HC. 2010; Anatomic variations in head and neck reconstruction. Semin Plast Surg. 24:155–70. DOI: 10.1055/s-0030-1255333. PMID: 22550436. PMCID: PMC3324238.
Article
10. Iwanaga J, Singh V, Ohtsuka A, Hwang Y, Kim HJ, Moryś J, Ravi KS, Ribatti D, Trainor PA, Sañudo JR, Apaydin N, Şengül G, Albertine KH, Walocha JA, Loukas M, Duparc F, Paulsen F, Del Sol M, Adds P, Hegazy A, Tubbs RS. 2021; Acknowledging the use of human cadaveric tissues in research papers: recommendations from anatomical journal editors. Clin Anat. 34:2–4. DOI: 10.1002/ca.23671. PMID: 32808702.
Article
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