[Iatrogenic lesions of the spinal accessory nerve. Microsurgical repair].
Iatrogenic lesions of the spinal accessory nerve were explored and repaired in 10 patients. Symptoms included pain, trapezius muscle atrophy, restricted active abduction and drop shoulder; as they developed after cervical lymph node biopsy, diagnosis was usually easy. Depending on the operative findings, microsurgical repair involved suture, neurolysis or grafts. Clinical and electromyographic results are available from 7 patients followed up for 14 months on average: complete recovery was observed in 3 cases and satisfactory but incomplete recovery in 3; there was one failure. Since these lesions often have severe sequelae, exploration and repair are advocated.
D000055:Accessory Nerve / Q000601:surgery; D061227:Accessory Nerve Injuries; D000293:Adolescent; D000328:Adult; D000368:Aged; D001706:Biopsy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008198:Lymph Nodes / Q000473:pathology; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D009333:Neck; D010243:Paralysis / Q000175:diagnosis / Q000601:surgery; D012785:Shoulder Joint / Q000503:physiopathology
Lésions iatrogènes du nerf spinal. Réparation microchirurgicale.