Diagnosis of unilateral trapezius muscle palsy: 54 Cases
ABSTRACT Introduction We assessed medical and surgical causes of unilateral trapezius muscle (TM) palsy and/or wasting. Methods Clinical and electrodiagnostic data were collected in 54 patients with TM impairment over 21 years. Results In total, 35 cases had a medical origin: neuralgic amyotrophy (N...
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| Veröffentlicht in: | Muscle & nerve 2017-08, Vol.56 (2), p.215-223 |
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| creator | Seror, Paul Stojkovic, Tanya Lefevre‐Colau, Marie Martine Lenglet, Timothée |
| description | ABSTRACT
Introduction
We assessed medical and surgical causes of unilateral trapezius muscle (TM) palsy and/or wasting.
Methods
Clinical and electrodiagnostic data were collected in 54 patients with TM impairment over 21 years.
Results
In total, 35 cases had a medical origin: neuralgic amyotrophy (NA, n = 22), idiopathic unilateral TM palsy (n = 5), regional neck radiotherapy for different conditions (n = 2), facioscapulohumeral dystrophy (FSH) (n = 4), abnormal loop of the jugular vein (n = 1), or basilar impression (n = 1). Other etiologies were neck surgery (n = 16), cervicofacial lift (n = 2), or trauma (n = 1).
Conclusions
There were 5 main diagnostic findings in unilateral TM palsy: (1) dynamic examination of the scapula provides a new clinical sign; (2) NA is the most frequent medical cause; (3) in medical cases, partial preservation of the upper TM can offer good recovery; (4) FSH must be considered, especially in young patients; and (5) minor neck surgery can lead to severe TM palsy. Muscle Nerve 56: 215–223, 2017 |
| doi_str_mv | 10.1002/mus.25481 |
| format | Article |
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Introduction
We assessed medical and surgical causes of unilateral trapezius muscle (TM) palsy and/or wasting.
Methods
Clinical and electrodiagnostic data were collected in 54 patients with TM impairment over 21 years.
Results
In total, 35 cases had a medical origin: neuralgic amyotrophy (NA, n = 22), idiopathic unilateral TM palsy (n = 5), regional neck radiotherapy for different conditions (n = 2), facioscapulohumeral dystrophy (FSH) (n = 4), abnormal loop of the jugular vein (n = 1), or basilar impression (n = 1). Other etiologies were neck surgery (n = 16), cervicofacial lift (n = 2), or trauma (n = 1).
Conclusions
There were 5 main diagnostic findings in unilateral TM palsy: (1) dynamic examination of the scapula provides a new clinical sign; (2) NA is the most frequent medical cause; (3) in medical cases, partial preservation of the upper TM can offer good recovery; (4) FSH must be considered, especially in young patients; and (5) minor neck surgery can lead to severe TM palsy. Muscle Nerve 56: 215–223, 2017</description><identifier>ISSN: 0148-639X</identifier><identifier>EISSN: 1097-4598</identifier><identifier>DOI: 10.1002/mus.25481</identifier><identifier>PMID: 27864983</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Action Potentials - physiology ; Adult ; Aged ; cervicofacial lift ; Diagnosis ; Diagnostic systems ; Dystrophy ; Electric Stimulation ; electrodiagnosis ; Etiology ; facio‐scapulo‐humeral dystrophy ; Female ; Follicle-stimulating hormone ; Functional Laterality - physiology ; Head and neck ; Humans ; iatrogenic nerve lesion ; Jugular vein ; Magnetic Resonance Imaging ; Male ; Medical diagnosis ; Middle Aged ; neck surgery ; nerve compression ; Neural Conduction - physiology ; neuralgic amyotrophy ; Paralysis ; Paralysis - diagnosis ; Paralysis - pathology ; Patients ; Preservation ; Radiation therapy ; Reaction Time - physiology ; Retrospective Studies ; Scapula ; Severity of Illness Index ; spinal accessory nerve ; Statistics, Nonparametric ; Superficial Back Muscles - physiopathology ; Surgery ; Trapezius muscle ; Trauma ; winging scapula</subject><ispartof>Muscle & nerve, 2017-08, Vol.56 (2), p.215-223</ispartof><rights>2016 Wiley Periodicals, Inc.</rights><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmus.25481$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmus.25481$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27864983$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seror, Paul</creatorcontrib><creatorcontrib>Stojkovic, Tanya</creatorcontrib><creatorcontrib>Lefevre‐Colau, Marie Martine</creatorcontrib><creatorcontrib>Lenglet, Timothée</creatorcontrib><title>Diagnosis of unilateral trapezius muscle palsy: 54 Cases</title><title>Muscle & nerve</title><addtitle>Muscle Nerve</addtitle><description>ABSTRACT
Introduction
We assessed medical and surgical causes of unilateral trapezius muscle (TM) palsy and/or wasting.
Methods
Clinical and electrodiagnostic data were collected in 54 patients with TM impairment over 21 years.
Results
In total, 35 cases had a medical origin: neuralgic amyotrophy (NA, n = 22), idiopathic unilateral TM palsy (n = 5), regional neck radiotherapy for different conditions (n = 2), facioscapulohumeral dystrophy (FSH) (n = 4), abnormal loop of the jugular vein (n = 1), or basilar impression (n = 1). Other etiologies were neck surgery (n = 16), cervicofacial lift (n = 2), or trauma (n = 1).
Conclusions
There were 5 main diagnostic findings in unilateral TM palsy: (1) dynamic examination of the scapula provides a new clinical sign; (2) NA is the most frequent medical cause; (3) in medical cases, partial preservation of the upper TM can offer good recovery; (4) FSH must be considered, especially in young patients; and (5) minor neck surgery can lead to severe TM palsy. Muscle Nerve 56: 215–223, 2017</description><subject>Action Potentials - physiology</subject><subject>Adult</subject><subject>Aged</subject><subject>cervicofacial lift</subject><subject>Diagnosis</subject><subject>Diagnostic systems</subject><subject>Dystrophy</subject><subject>Electric Stimulation</subject><subject>electrodiagnosis</subject><subject>Etiology</subject><subject>facio‐scapulo‐humeral dystrophy</subject><subject>Female</subject><subject>Follicle-stimulating hormone</subject><subject>Functional Laterality - physiology</subject><subject>Head and neck</subject><subject>Humans</subject><subject>iatrogenic nerve lesion</subject><subject>Jugular vein</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>neck surgery</subject><subject>nerve compression</subject><subject>Neural Conduction - physiology</subject><subject>neuralgic amyotrophy</subject><subject>Paralysis</subject><subject>Paralysis - diagnosis</subject><subject>Paralysis - pathology</subject><subject>Patients</subject><subject>Preservation</subject><subject>Radiation therapy</subject><subject>Reaction Time - physiology</subject><subject>Retrospective Studies</subject><subject>Scapula</subject><subject>Severity of Illness Index</subject><subject>spinal accessory nerve</subject><subject>Statistics, Nonparametric</subject><subject>Superficial Back Muscles - physiopathology</subject><subject>Surgery</subject><subject>Trapezius muscle</subject><subject>Trauma</subject><subject>winging scapula</subject><issn>0148-639X</issn><issn>1097-4598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEtLAzEQgIMotlYP_gEJePGybSaPTeJNWl9Q8aAFbyG7m0rKvtx0kfrrjW314FxmmPkYZj6EzoGMgRA6qfowpoIrOEBDIFomXGh1iIYEuEpSpt8G6CSEFSEEVCqP0YBKlXKt2BCpmbfvdRN8wM0S97Uv7dp1tsTrzrbuy_cBx-156XBry7C5xoLjqQ0unKKjZey4s30eocXd7ev0IZk_3z9Ob-ZJS6WGRKolKyxQwhTjVsiCCiWtJjzjTmV5oXPBpaBEcpCpEBDDMprpzAmei5ywEbra7W275qN3YW0qH3JXlrZ2TR8MKA4qPsZlRC__oaum7-p4nQENmjImiY7UxZ7qs8oVpu18ZbuN-XUSgckO-PSl2_zNgZgf2SbqMFvZ5mnxsi3YN7i3bfU</recordid><startdate>201708</startdate><enddate>201708</enddate><creator>Seror, Paul</creator><creator>Stojkovic, Tanya</creator><creator>Lefevre‐Colau, Marie Martine</creator><creator>Lenglet, Timothée</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201708</creationdate><title>Diagnosis of unilateral trapezius muscle palsy: 54 Cases</title><author>Seror, Paul ; Stojkovic, Tanya ; Lefevre‐Colau, Marie Martine ; Lenglet, Timothée</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2791-78f3da1203834a57d2587a904b4e8bcd9c54752074176551111a32b9be54c5c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Action Potentials - physiology</topic><topic>Adult</topic><topic>Aged</topic><topic>cervicofacial lift</topic><topic>Diagnosis</topic><topic>Diagnostic systems</topic><topic>Dystrophy</topic><topic>Electric Stimulation</topic><topic>electrodiagnosis</topic><topic>Etiology</topic><topic>facio‐scapulo‐humeral dystrophy</topic><topic>Female</topic><topic>Follicle-stimulating hormone</topic><topic>Functional Laterality - physiology</topic><topic>Head and neck</topic><topic>Humans</topic><topic>iatrogenic nerve lesion</topic><topic>Jugular vein</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Middle Aged</topic><topic>neck surgery</topic><topic>nerve compression</topic><topic>Neural Conduction - physiology</topic><topic>neuralgic amyotrophy</topic><topic>Paralysis</topic><topic>Paralysis - diagnosis</topic><topic>Paralysis - pathology</topic><topic>Patients</topic><topic>Preservation</topic><topic>Radiation therapy</topic><topic>Reaction Time - physiology</topic><topic>Retrospective Studies</topic><topic>Scapula</topic><topic>Severity of Illness Index</topic><topic>spinal accessory nerve</topic><topic>Statistics, Nonparametric</topic><topic>Superficial Back Muscles - physiopathology</topic><topic>Surgery</topic><topic>Trapezius muscle</topic><topic>Trauma</topic><topic>winging scapula</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seror, Paul</creatorcontrib><creatorcontrib>Stojkovic, Tanya</creatorcontrib><creatorcontrib>Lefevre‐Colau, Marie Martine</creatorcontrib><creatorcontrib>Lenglet, Timothée</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Muscle & nerve</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seror, Paul</au><au>Stojkovic, Tanya</au><au>Lefevre‐Colau, Marie Martine</au><au>Lenglet, Timothée</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosis of unilateral trapezius muscle palsy: 54 Cases</atitle><jtitle>Muscle & nerve</jtitle><addtitle>Muscle Nerve</addtitle><date>2017-08</date><risdate>2017</risdate><volume>56</volume><issue>2</issue><spage>215</spage><epage>223</epage><pages>215-223</pages><issn>0148-639X</issn><eissn>1097-4598</eissn><abstract>ABSTRACT
Introduction
We assessed medical and surgical causes of unilateral trapezius muscle (TM) palsy and/or wasting.
Methods
Clinical and electrodiagnostic data were collected in 54 patients with TM impairment over 21 years.
Results
In total, 35 cases had a medical origin: neuralgic amyotrophy (NA, n = 22), idiopathic unilateral TM palsy (n = 5), regional neck radiotherapy for different conditions (n = 2), facioscapulohumeral dystrophy (FSH) (n = 4), abnormal loop of the jugular vein (n = 1), or basilar impression (n = 1). Other etiologies were neck surgery (n = 16), cervicofacial lift (n = 2), or trauma (n = 1).
Conclusions
There were 5 main diagnostic findings in unilateral TM palsy: (1) dynamic examination of the scapula provides a new clinical sign; (2) NA is the most frequent medical cause; (3) in medical cases, partial preservation of the upper TM can offer good recovery; (4) FSH must be considered, especially in young patients; and (5) minor neck surgery can lead to severe TM palsy. Muscle Nerve 56: 215–223, 2017</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27864983</pmid><doi>10.1002/mus.25481</doi><tpages>9</tpages></addata></record> |
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| subjects | Action Potentials - physiology Adult Aged cervicofacial lift Diagnosis Diagnostic systems Dystrophy Electric Stimulation electrodiagnosis Etiology facio‐scapulo‐humeral dystrophy Female Follicle-stimulating hormone Functional Laterality - physiology Head and neck Humans iatrogenic nerve lesion Jugular vein Magnetic Resonance Imaging Male Medical diagnosis Middle Aged neck surgery nerve compression Neural Conduction - physiology neuralgic amyotrophy Paralysis Paralysis - diagnosis Paralysis - pathology Patients Preservation Radiation therapy Reaction Time - physiology Retrospective Studies Scapula Severity of Illness Index spinal accessory nerve Statistics, Nonparametric Superficial Back Muscles - physiopathology Surgery Trapezius muscle Trauma winging scapula |
| title | Diagnosis of unilateral trapezius muscle palsy: 54 Cases |
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