title: Transitory spinal accessory nerve injury following post-fossa surgery for Chiari malformation.
abstract: We report the case of a young patient with a transient transitory spinal accessory injury after foramen magnum decompression for Chiari malformation. The pathophysiology and the possible mechanisms of injury are highlighted and discussed. Some tips to avoid this potentially severe iatrogenic complication are provided.
authors.affiliation: a Department of Clinical Neurosciences , Western General Hospital & Royal Hospital Sick Children , Edinburgh , UK.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Gallo
authors.affiliation: b Department of Neurosurgery , University Hospital Borgo Trento , Verona , Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Sala
mesh_terms: D061227:Accessory Nerve Injuries / Q000209:etiology* / Q000628:therapy*; D000328:Adult; D001139:Arnold-Chiari Malformation / Q000150:complications / Q000601:surgery*; D003388:Cranial Fossa, Posterior / Q000601:surgery*; D005260:Female; D005539:Foramen Magnum / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D061145:Microvascular Decompression Surgery / Q000009:adverse effects; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D009989:Orthotic Devices; D026741:Physical Therapy Modalities; D011183:Postoperative Complications / Q000503:physiopathology* / Q000628:therapy*; D016896:Treatment Outcome
keywords: Chiari type I malformation; complications; craniovertebral junction; surgical decompression