Accessory nerve palsy.

M Olarte; D Adams

doi:10.1136/jnnp.40.11.1113

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Accessory nerve palsy.

M Olarte·D Adams

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Abstract

After apparently uncomplicated excision of benign lesions in the posterior cervical triangle, two patients had shoulder pain. In one, neck pain and trapezius weakness were not prominent until one month after surgery. Inability to elevate the arm above the horizontal without externally rotating it, and prominent scapular displacement on arm abduction, but not on forward pushing movements, highlighted the trapezius dysfunction and differentiated it from serratus anterior weakness. Spinal accessory nerve lesions should be considered when minor surgical procedures, lymphadenitis, minor trauma, or tumours involved the posterior triangle of the neck.

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Accessory Nerve Accessory Nerve Injuries Adult Diagnosis, Differential Female Head and Neck Neoplasms Humans Lymphadenitis Male Middle Aged Neck Paralysis Peripheral Nervous System Diseases Surgical Procedures, Operative Syndrome Case Reports Journal Article Research Support, U.S. Gov't, P.H.S.

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M Olarte, D Adams. 1977. Accessory nerve palsy.. https://doi.org/10.1136/jnnp.40.11.1113

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