Impairment of upper trapezius branch of the spinal accessory nerve during bypass grafting: A stretch injury?

Internal jugular vein catheterization has been implicated in spinal accessory nerve (SAN) injuries after coronary artery bypass grafting (CABG). Stretch injury due to prolonged positioning during CABG has also been proposed as another mechanism of injury. Herein we describe a male patient with left...

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Veröffentlicht in:Muscle & nerve 2010-01, Vol.41 (1), p.144-147
Hauptverfasser: Keleş, Zelal, Zinnuroğlu, Murat, Beyazova, Mehmet
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creator Keleş, Zelal
Zinnuroğlu, Murat
Beyazova, Mehmet
description Internal jugular vein catheterization has been implicated in spinal accessory nerve (SAN) injuries after coronary artery bypass grafting (CABG). Stretch injury due to prolonged positioning during CABG has also been proposed as another mechanism of injury. Herein we describe a male patient with left shoulder pain and abduction difficulty following CABG, who displayed electromyographic abnormalities confined to the left upper trapezius muscle. Internal jugular vein catheterization had not been performed during surgery. Although unusual, the possibility of upper trapezius muscular branch paralysis should be considered in patients with shoulder pain or weakness after CABG. Muscle Nerve, 2010
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Biological and medical sciences
Brachial Plexus - injuries
Coronary Artery Bypass - adverse effects
coronary artery bypass grafting
Coronary Artery Disease - surgery
Development. Senescence. Regeneration. Transplantation
Diagnosis, Differential
Electromyography
Follow-Up Studies
Fundamental and applied biological sciences. Psychology
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Muscle, Skeletal - innervation
Muscular Dystrophies - diagnosis
Muscular Dystrophies - etiology
Postoperative Complications
shoulder pain
Shoulder Pain - diagnosis
Shoulder Pain - etiology
spinal accessory nerve
stretch injury
Vertebrates: nervous system and sense organs
title Impairment of upper trapezius branch of the spinal accessory nerve during bypass grafting: A stretch injury?
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