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Ultrasound in the management of iatrogenic spinal accessory nerve palsy at the posterior cervical triangle area
Author(s) -
Shen Jun,
Chen Weimin,
Ye Xuan,
Qiu Yanqun,
Xu Jing,
Zhu Yi,
Shen Yundong,
Xu Wendong
Publication year - 2019
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.26342
Subject(s) - medicine , ultrasound , accessory nerve , lesion , palsy , spinal nerve , cervical nerve , surgery , radiology , nerve root , anatomy , pathology , alternative medicine , dorsum
: The purpose of this study was to evaluate the application of ultrasound in the management of iatrogenic spinal accessory nerve palsy at the posterior cervical triangle area. Methods : In this retrospective study, we compared ultrasonographic results with intraoperative findings in patients with iatrogenic spinal accessory nerve palsy during the time period from 2014 to 2018 at our hospital. Results : Eleven patients were included. Ultrasound detected nerve transections in 9 patients and continuities in 2 patients. The ultrasonographic results were consistent with the intraoperative findings. Furthermore, ultrasound was able to accurately reveal lesion location in 8 of 9 patients with nerve transections. Discussion : Ultrasound provides direct images about nerve lesions contributing to the diagnosis of iatrogenic spinal accessory nerve palsy at the posterior cervical triangle area and also reveals lesion location, assisting in formulating suitable surgical plans preoperatively. We recommend that ultrasound be integrated into the preoperative evaluation. Muscle Nerve 59 :64–69, 2019