Idiopathic spinal accessory nerve palsy. A case report

Summary Spinal accessory nerve palsy may lead to dysfunction or paralysis of the trapezius muscle. Common causes are iatrogenic or secondary due to trauma, infection or tumour. Idiopathic palsy is considered extremely rare. We present the case of a 42-year-old Caucasian male suffering from a unilate...

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Veröffentlicht in:Orthopaedics & traumatology, surgery & research surgery & research, 2010-09, Vol.96 (5), p.589-592
Hauptverfasser: Sergides, N.N, Nikolopoulos, D.D, Polyzois, I.G
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creator Sergides, N.N
Nikolopoulos, D.D
Polyzois, I.G
description Summary Spinal accessory nerve palsy may lead to dysfunction or paralysis of the trapezius muscle. Common causes are iatrogenic or secondary due to trauma, infection or tumour. Idiopathic palsy is considered extremely rare. 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. An electromyographic study confirmed the idiopathic paralysis of the distal segment of the spinal accessory nerve.
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A case report</atitle><jtitle>Orthopaedics &amp; traumatology, surgery &amp; research</jtitle><addtitle>Orthop Traumatol Surg Res</addtitle><date>2010-09-01</date><risdate>2010</risdate><volume>96</volume><issue>5</issue><spage>589</spage><epage>592</epage><pages>589-592</pages><issn>1877-0568</issn><eissn>1877-0568</eissn><abstract>Summary Spinal accessory nerve palsy may lead to dysfunction or paralysis of the trapezius muscle. Common causes are iatrogenic or secondary due to trauma, infection or tumour. Idiopathic palsy is considered extremely rare. 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. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Access via ScienceDirect (Elsevier)
subjects Accessory Nerve Diseases - diagnosis
Accessory Nerve Diseases - etiology
Adult
Diagnosis, Differential
Electromyography
Humans
Idiopathic
Male
Muscle Weakness - diagnosis
Muscle Weakness - etiology
Muscle, Skeletal - innervation
Muscular Atrophy - diagnosis
Muscular Atrophy - etiology
Orthopedics
Palsy
Paralysis - diagnosis
Paralysis - etiology
Range of Motion, Articular - physiology
Scapula - innervation
Shoulder - innervation
Spinal accessory nerve
Surgery
Trapezius
Winging scapula
title Idiopathic spinal accessory nerve palsy. A case report
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