Spinal accessory neuropathy - Revision history

Rossdonaldson1: /* Management */

2020-08-05T18:13:03Z

Management

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	==Management==		==Management==
	*NSAIDs		*[[NSAIDs]]
	*Shoulder sling		*Shoulder sling
	*Physical therapy		*Physical therapy

Rossdonaldson1: /* Causes */

2020-08-05T18:12:46Z

Causes

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	*Commonly removed during radical neck dissection for head and neck cancers		*Commonly removed during radical neck dissection for head and neck cancers

	==Causes==		===Causes===
	*Iatrogenic		*Iatrogenic
	**Radical or modified neck dissection		**Radical or modified neck dissection

Rossdonaldson1: /* Differential Diagnosis */

2020-08-05T18:08:49Z

Differential Diagnosis

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	==Differential Diagnosis==		==Differential Diagnosis==
	{{~~Peripheral~~ nerve syndromes}}		{{Upper extremity peripheral nerve syndromes}}

	==Evaluation==		==Evaluation==

Rossdonaldson1 at 18:08, 5 August 2020

2020-08-05T18:08:01Z

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	*CN XI which innervates the sternocleidomastoid and trapezius muscles<ref>Kelley MJ et al. Spinal Accessory Nerve Palsy: Associated Signs and Symptoms. J Orthop Sport Phys. 2008;38(2):78-86.</ref>		*CN XI which innervates the sternocleidomastoid and trapezius muscles<ref>Kelley MJ et al. Spinal Accessory Nerve Palsy: Associated Signs and Symptoms. J Orthop Sport Phys. 2008;38(2):78-86.</ref>
	*Commonly removed during radical neck dissection for head and neck cancers		*Commonly removed during radical neck dissection for head and neck cancers

			==Causes==
			*Iatrogenic
			**Radical or modified neck dissection
			*Trauma
			*[[Stroke]]

	==Clinical Features==		==Clinical Features==
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Iatrogenic		{{Peripheral nerve syndromes}}
	**Radical or modified neck dissection
	*Trauma
	*[[Stroke]]

	==Evaluation==		==Evaluation==

Rossdonaldson1 at 18:07, 5 August 2020

2020-08-05T18:07:23Z

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	==See Also==		==See Also==
	[[Neurologic exam]]		*[[Neurologic exam]]
			*[[Peripheral nerve syndromes]]

	==External Links==		==External Links==

Rossdonaldson1: /* Background */

2020-08-05T18:06:05Z

Background

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	==Background==		==Background==
			[[File:Gray1210.png\|thumb\|Lateral neck, with accessory nerve seen between the sternocleidomastoid and trapezius muscles.]]
	*CN XI which innervates the sternocleidomastoid and trapezius muscles<ref>Kelley MJ et al. Spinal Accessory Nerve Palsy: Associated Signs and Symptoms. J Orthop Sport Phys. 2008;38(2):78-86.</ref>		*CN XI which innervates the sternocleidomastoid and trapezius muscles<ref>Kelley MJ et al. Spinal Accessory Nerve Palsy: Associated Signs and Symptoms. J Orthop Sport Phys. 2008;38(2):78-86.</ref>
	*Commonly removed during radical neck dissection for head and neck cancers		*Commonly removed during radical neck dissection for head and neck cancers


	==Clinical Features==		==Clinical Features==

Ostermayer at 06:11, 1 August 2020

2020-08-01T06:11:36Z

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	==References==		==References==
	<references/>		<references/>

			[[Category:Neurology]]

Ostermayer at 06:11, 1 August 2020

2020-08-01T06:11:06Z

← Revisión anterior		Revisión del 06:11 1 ago 2020
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	==Background==		==Background==
	*CN XI which innervates the sternocleidomastoid and trapezius muscles		*CN XI which innervates the sternocleidomastoid and trapezius muscles<ref>Kelley MJ et al. Spinal Accessory Nerve Palsy: Associated Signs and Symptoms. J Orthop Sport Phys. 2008;38(2):78-86.</ref>
	*Commonly removed during radical neck dissection for head and neck cancers		*Commonly removed during radical neck dissection for head and neck cancers

Línea 37:		Línea 37:
	==References==		==References==
	<references/>		<references/>
	~~1. Kelley MJ et al. Spinal Accessory Nerve Palsy: Associated Signs and Symptoms. J Orthop Sport Phys. 2008;38(2):78-86.~~

Fredvarone: Created page with "==Background== CN XI which innervates the sternocleidomastoid and trapezius muscles Commonly removed during radical neck dissection for head and neck cancers ==Clinical Fe..."

2020-07-30T13:43:02Z

Created page with "==Background== *CN XI which innervates the sternocleidomastoid and trapezius muscles *Commonly removed during radical neck dissection for head and neck cancers ==Clinical Fe..."

Página nueva

==Background==
*CN XI which innervates the sternocleidomastoid and trapezius muscles
*Commonly removed during radical neck dissection for head and neck cancers

==Clinical Features==
*Trapezius atrophy
*Weakness of shoulder abduction
*Scapular dyskinesis

==Differential Diagnosis==
*Iatrogenic
**Radical or modified neck dissection
*Trauma
*[[Stroke]]

==Evaluation==
*Usually a clinical diagnosis
*Positive scapular flip sign
*Outpatient EMG or nerve conduction studies

==Management==
*NSAIDs
*Shoulder sling
*Physical therapy
*Surgical repair

==Disposition==
*Discharge with neurology follow up

==See Also==
[[Neurologic exam]]

==External Links==

==References==
<references/>
1. Kelley MJ et al. Spinal Accessory Nerve Palsy: Associated Signs and Symptoms. J Orthop Sport Phys. 2008;38(2):78-86.

Spinal accessory neuropathy - Revision history

Rossdonaldson1: /* Management */

Rossdonaldson1: /* Causes */

Rossdonaldson1: /* Differential Diagnosis */

Rossdonaldson1 at 18:08, 5 August 2020

Rossdonaldson1 at 18:07, 5 August 2020

Rossdonaldson1: /* Background */

Ostermayer at 06:11, 1 August 2020

Ostermayer at 06:11, 1 August 2020

Fredvarone: Created page with "==Background== *CN XI which innervates the sternocleidomastoid and trapezius muscles *Commonly removed during radical neck dissection for head and neck cancers ==Clinical Fe..."

Fredvarone: Created page with "==Background== CN XI which innervates the sternocleidomastoid and trapezius muscles Commonly removed during radical neck dissection for head and neck cancers ==Clinical Fe..."