We describe the previously unreported occurrence of a glomus tumour presenting with a unilateral accessory nerve palsy.[ncbi.nlm.nih.gov]
A positive scapular flip sign was present in all cases. The middle and lower trapezius were rated as 0/5, based on manual muscle testing, indicating no identifiable muscle activation against resistance.[ncbi.nlm.nih.gov]
We present the case of a 42-year-old Caucasian male suffering from a unilateral, isolated paralysis of his ipsilateral trapezius muscle. There was no related trauma, nor any past history of surgical procedures.[ncbi.nlm.nih.gov]
Herein, we present a patient with a diagnosis of spontaneous spinal accessory nerve palsy, which was rarely reported in the relevant literature.[ncbi.nlm.nih.gov]
We report the case of a 23 year old male patient who presented for an isolated left accessory nerve palsy which had appeared one year before.[ncbi.nlm.nih.gov]
Risks and complications Although scapulothoracic fusion is a safe procedure, various risks and complications have been reported that include: Metalwork failure Adhesive capsulitis Nonunion of bone Pneumothorax Pleuraleffusion Thoracic outlet syndrome[mistysurimd.com]
After apparently uncomplicated excision of benign lesions in the posterior cervical triangle, two patients had shoulderpain. In one, neck pain and trapezius weakness were not prominent until one month after surgery.[ncbi.nlm.nih.gov]
This case report suggests that isolated spinal accessory nerve palsy should be considered in cases of shoulderpain or weakness after CABG, and conservative treatment is recommended if palsy develops.[ncbi.nlm.nih.gov]
We report the case of a collegiate swimmer who developed left-sided neck and shoulderpain secondary to a spinal accessory nerve palsy (SANP) after a "whiplash injury," which we believe to be the first such reported case in the English language literature[ncbi.nlm.nih.gov]
A 38- year-old male with left shoulderpain, scapular deviation and weakness in the left upper extremity, whose symptoms developed over a two-year period following a traffic accident, is presented herein.[ncbi.nlm.nih.gov]
All patients presented with a cluster of signs and symptoms including trapezius atrophy, shoulder girdle depression, limited active shoulder abduction to less than 90 degrees , shoulderpain, and shoulder weakness.[ncbi.nlm.nih.gov]
Long-term, SAN palsy can lead to loss of muscle function, adhesive capsulitis (frozenshoulder), rotator cuff impingement, and pain. All of these side effects can greatly affect a person’s activities of daily living and quality of life.[oncolink.org]
One think I do have on my side is that I went back to him and showed him my wingged scapula, frozenshoulder, etc. He did NOT send me for further testing at his expense which is clear Negligence. Do you live in Ca? Thanks again![neurotalk.org]
shoulder , subacromial impingement , and thoracic outlet syndrome ; - Modified Eden Lange Procedure: - described by Eden in 1924 and Lange in 1959; - attempts to restore the 3 anatomical and functional aspects of the trapezius; - pt is placed in lateral[wheelessonline.com]
The another simple exercise to help raise your arm with a 'frozenshoulder' is the finger walking up the wall that mastectomy patients use. I've seen significant improvement noted by other club members who have tried these easy suggestions.[webwhispers.org]
A full passive range of motion may eventually progress to decreased passive range of motion due to adhesive capsulitis ( frozenshoulder ). The ipsilateral shoulder may droop.[emedicine.medscape.com]
Whatever the etiology, the typical clinical features of SAN palsy can be listed as atrophy/weakness of the trapeziusmuscle and moderate winging of the scapula.[ncbi.nlm.nih.gov]
A spinal accessory nerve injury can be caused by trauma or damage during surgery, resulting in shoulder pain, "winging" of the shoulder blades and weakness of the trapeziusmuscle.[hopkinsmedicine.org]
Interruption of the nerve supply to the sternocleidomastoid muscle results in an asymmetric neckline, while weakness of the trapeziusmuscle can produce a drooping shoulder, winged scapula , and a weakness of forward elevation of the shoulder. [1] Causes[en.wikipedia.org]
[…] of the trapeziusmuscle and sternocleidomastoid ( CN XI ) Cavernous sinus syndrome CN III , IV, V 1 ,V 2, VI Neoplasm or inflammation affecting the cavernous sinus (e.g., Tolosa-Hunt syndrome) Intracavernous aneurysms Cavernous sinus thrombosis Impaired[amboss.com]
A 38- year-old male with leftshoulderpain, scapular deviation and weakness in the left upper extremity, whose symptoms developed over a two-year period following a traffic accident, is presented herein.[ncbi.nlm.nih.gov]
The extent of cranialnerveinvolvement may include the cisternal, foraminal, and extracranial (Spinal or intra Sternocleidomastoid) segments of the spinal accessory nerve (Which the extracranial form is the least common ones been reported).( 7 , 8 )[ispub.com]
[…] in sudden acceleration-deceleration injuries). [ 18 ] Presentation Evaluation of patients to detect SAN injury requires an organized clinical examination that may be supplemented with electrophysiologic nerve and muscle studies, as described in the Workup[emedicine.medscape.com]
If new symptoms or significant worsening of existing symptoms occurs, neuroimaging, electrodiagnostics, or surgical referral should be considered. 8 Patients who have multiple occurrences of stingers should also have a more thorough workup, because they[aafp.org]
Risks and complications Although scapulothoracic fusion is a safe procedure, various risks and complications have been reported that include: Metalwork failure Adhesive capsulitis Nonunion of bone Pneumothorax Pleuraleffusion Thoracic outlet syndrome[mistysurimd.com]
Four patients were referred to the Royal National Orthopaedic Hospital with iatrogenic accessory nerve palsy because their symptoms were severe enough to warrant surgical treatment.[ncbi.nlm.nih.gov]
Accessory Nerve Injury Treatment and Management. Medscape. 2016. Found at:[oncolink.org]
This case report suggests that isolated spinal accessory nerve palsy should be considered in cases of shoulder pain or weakness after CABG, and conservative treatment is recommended if palsy develops.[ncbi.nlm.nih.gov]
A high index of suspicion for SANP following whiplash-type injury will ensure its earlier detection and treatment and improve the chances of a better functional outcome.[ncbi.nlm.nih.gov]
Emphasis is placed on diagnosis and treatment of this condition.[ncbi.nlm.nih.gov]
The prognosis was better following blunt trauma, stretch injuries and after a spontaneous onset. The anatomical relationships of the accessory nerve and aspects of the clinical picture and management are discussed.[ncbi.nlm.nih.gov]
Early identification of SANP can assist with the prognosis, explain persistent impairments and functional deficits, motivate appropriate diagnostic testing and interventions, and help maximize outcome.[ncbi.nlm.nih.gov]
Carenfelt C, Eliasson K (1980) Occurrence, duration and prognosis of unexpected accessory nerve paresis in radical neck dissection. Acta Otolaryngol 90:470–473 PubMed Google Scholar 8. Vastamaki M, Solonen KA (1984) Accessory nerve injury.[link.springer.com]
[…] partial forms that are well-tolerated. [1] Although MRI reveals muscle abnormalities in more than 50% of cases, the most helpful diagnostic tests in confirming SAN palsy are nerve conduction studies and electromyography. [3] The role of EMG in predicting prognosis[neurologyindia.com]
Usually the prognosis for recovery from a neuropraxia and an idiopathic lesion of the N. thoracicus longus within a two-year period is good. The prognosis for an isolated lesion of the N. accessorius is much less favourable.[ncbi.nlm.nih.gov]
Various rare etiological factors were also described. Whatever the etiology, the typical clinical features of SAN palsy can be listed as atrophy/weakness of the trapezius muscle and moderate winging of the scapula.[ncbi.nlm.nih.gov]
The signs and symptoms of spinal accessory nerve palsy and its etiology are discussed.[ncbi.nlm.nih.gov]
A simple clinical and etiologic classification of the winged scapula is proposed based on the study of these patients in conjunction with a review of the literature. Winging of the scapula is either static or dynamic.[scienceopen.com]
Etiology Clinical features Extorsion of the eye : inability to depress and adduct the eyeball simultaneously (the pupil shoots upward during attempted adduction of the eyeball) Diplopia ( double vision ) Mild esotropia Trigeminal nerve lesion (V) Etiology[amboss.com]
Derived from the highly acclaimed journal Best Practice & Research Clinical Endocrinology & Metabolism, this fully updated volume provides a logical progression through definition, diagnosis, epidemiology, pathology, acute and chronic complications as[books.google.com]
[…] shoulder and upper arm level, left arm, initial encounter A- initial encounter D- subsequent encounter S- sequela Scapular Winging ICD-9 907.4 (Late effect of injury to peripheral nerve of shoulder girdle and upper limb) Scapular Winging Etiology / Epidemiology[eorif.com]
Compression Fracture callus Coracobrachialis muscle 5 Backpack palsy Stretch injury Multifocal motor neuropathy Upper/lower subscapular nerves Authors are not aware of any reported cases of mononeuropathy Evaluate for spinal nerve/brachial plexus lesion Epidemiology[now.aapmr.org]
Epidemiology Frequency Iatrogenic SAN injury most commonly occurs following diagnostic lymph node biopsies of the posterior triangle of the neck. Injury rates from these procedures are reportedly 3-8%.[emedicine.medscape.com]
[…] neuritis Syringomyelia A study by Kassem et al suggested that idiopathic brachial plexitis can affect the spinal accessory nerve and may be sparked by surgical procedures. [ 21 ] Miscellaneous Spontaneous isolated nerve injury has also been reported. [22] Pathophysiology[emedicine.medscape.com]
[…] deltoid Sensory: C5 and C6 dermatomes No protective coverings (epineurium and perineurium) on the nerves after they exit the foramina Increased risk of stretch injury at neck and shoulder regions Contusion or compression of upper trunk at Erb point Pathophysiology[aafp.org]
& Research Clinical Endocrinology & Metabolism, this fully updated volume provides a logical progression through definition, diagnosis, epidemiology, pathology, acute and chronic complications as well as the latest advances in treatment and disease prevention[books.google.com]
Patient & family education Counsel patient/family regarding expected course of improvement depending on type of lesion (eg neurapraxic vs axonal) and importance of physical therapy to prevent contracture and improve function.[now.aapmr.org]
The neurotoxin consists of molecules that bind to nerve endings and prevent the release of stimulating neurotransmitters. This means the nerve signal is blocked from reaching the muscle, and hence the muscles no longer contract.[umanitoba.ca]
Bilateral weakness may prevent the patient from lifting their head off a pillow and the head may be inclined posteriorly for lack of flexor tone. Bilateral weakness suggests muscle or neuromuscular disease.[dartmouth.edu]
[Read more] Balancing pain control has a critical role for confronting the opioid epidemic and the Centers for Disease Control and Prevention (CDC) has issued guidelines for prescribing opioids.[passioeducation.com]