Spinal accessory mononeuropathy following posterior fossa decompression surgery.

Abstract

Isolated injury of the spinal accessory nerve is a well-recognized complication of surgeries involving the posterior triangle of the neck. The procedures most commonly implicated are lymph node biopsy and carotid endarterectomy. We present a patient with isolated injury to the spinal accessory nerve, localized proximal to the innervation of the sternocleidomastoid muscle, which was noted following suboccipital decompression for an Arnold-Chiari malformation. To our knowledge, this association has not been previously reported.

• Authors: J A Rescigno, K J Felice
• Journal: Acta neurologica Scandinavica (Acta Neurol Scand) Vol. 105 Issue 4 Pg. 326-9 (Apr 2002) ISSN: 0001-6314 [Print] Denmark
• PMID: 11939948 (Publication Type: Case Reports, Journal Article)

Topics

• Accessory Nerve (physiopathology)
• Accessory Nerve Diseases (etiology, physiopathology)
• Accessory Nerve Injuries
• Adult
• Arnold-Chiari Malformation (surgery)
• Decompression, Surgical (adverse effects)
• Electromyography
• Humans
• Iatrogenic Disease
• Male
• Mononeuropathies (etiology, physiopathology)
• Nerve Regeneration
• Occipital Lobe (surgery)