İdiyopatik Bilateral Aksesuar Sinir Felci

Spinal aksesuar sinir hasarı sıklıkla boyun cerrahileri sonrasında görülmektedir. Cerrahi dışında traksiyon, gerilme, künt travma, penetran yaralanmalar gibi çeşitli nedenlerle izole spinal aksesuar sinir hasarı görülmektedir. Spinal aksesuar sinir felcinde trapez kas atrofisi, servikal dismetri, omuzda çökme, supraspinatus çıkışında daralma sonucu subakromiyal sıkışma görülebilir. Bu yazıda omuz ağrısı ve güçsüzlük ile başvuran hastada bilateral spinal aksesuar sinir felci gelişimini sunmayı amaçladık.

Anahtar Kelimeler:

Aksesuar sinir, Omuz ağrısı, Sinir felci

Idiopathic Bilateral Accessory Nerve Palsy

Spinal accessory nerve injury is often seen after neck surgeries.Isolated spinal accessory nerve injury is observed for various reasons such as traction, stretching, blunt trauma, and penetrating injuries. In spinal accessory nerve palsy, there may be trapezoidal muscle atrophy, cervical dysmetria, collapse in the shoulder, and contraction of supraspinatus. In this article, we aimed to present the development of bilateral spinal accessory nerve palsy in the patient presenting with shoulder pain and weakness.

Keywords:

Accessory nerve, Shoulder pain, Nerve palsy,

PDF

___

1. Aksoy IA, Schrader SL, Ali MS, Borovansky JA, Ross MA. Spinal accessory neuropathy associated with deep tissue massage: a case report. Archives of physical medicine and rehabilitation. 2009;90(11):1969-72.
2. Bodack MP, Tunkel RS, Marini SG, Nagler W. Spinal accessory nerve palsy as a cause of pain after whiplash injury: case report. Journal of pain and symptom management. 1998;15(5):321-8.
3. Wills AJ, Sawle GV. Accessory nerve palsies. Practical neurology. 2010;10(4):191-4.
4. Donner TR, Kline DG. Extracranial spinal accessory nerve injury. Neurosurgery. 1993;32(6):907-11.
5. Martin SC, Thornhill TS. Omuz Ağrısı. In: Harris ED, Budd RC, GS Firestein, editors. Kelley Romatoloji 12006. p. 557-87.
6. Gürsoy Azize E, Babacan‑Yildiz G, Kolukisa M, Celebi A. Idiopathic spinal accessory nerve palsy: A case report and review of the literature. Neurology India. 2013;61(1).
7. Gale GL. Bilateral Accessory Nerve Paralysis. Canadian Medical Association journal. 1954;70(2):191.