Spinal accessory mononeuropathy following posterior fossa decompression surgery.
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.
Rescigno
J A
JA
Department of Neurology, University of Connecticut School of Medicine, Farmington, CT 06030, USA.
Felice
K J
KJ
D000055:Accessory Nerve / Q000503:physiopathology; D020436:Accessory Nerve Diseases / Q000209:etiology* / Q000503:physiopathology*; D061227:Accessory Nerve Injuries; D000328:Adult; D001139:Arnold-Chiari Malformation / Q000601:surgery; D019299:Decompression, Surgical / Q000009:adverse effects*; D004576:Electromyography; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D020422:Mononeuropathies / Q000209:etiology* / Q000503:physiopathology*; D009416:Nerve Regeneration; D009778:Occipital Lobe / Q000601:surgery